Polite-Young, Lorette

Polite-Young, Lorette is an individual health care provider with primary practice located at 11010 S Tryon St Ste 101 , Charlotte NC 28273-0107. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Polite-Young, Lorette can be contacted via phone (704) 587-7336.

Contact Information

Primary practice address
11010 S Tryon St Ste 101 Charlotte NC 28273-0107
Fax: (704) 587-7579
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7797 North Carolina

Profile Details

NPI number 1932210549
LBN Legal business name Polite-Young, Lorette
Credentials RPH,DDS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932210549 NPPES
North Carolina MEDICAID 89902YW

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