Young, Brenton L

Young, Brenton L is an individual health care provider with primary practice located at 139 W Ross Grove Road , Shelby NC 28150-3406. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Young, Brenton L can be contacted via phone (704) 482-7986.

Contact Information

Primary practice address
139 W Ross Grove Road Shelby NC 28150-3406
Phone: (704) 482-7986
Fax: (704) 480-9301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7040 North Carolina

Profile Details

NPI number 1982638391
LBN Legal business name Young, Brenton L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Sep 11th, 2014 - about 11 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 1982638391 NPPES
North Carolina Other 9009L BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 899009L BLUE CROSS BLUE SHIELD

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