NPIMap

Organization Active NPI

Lorette M. Polite-Young DDS PA

  • Pediatric Dentistry
  • Waxhaw, NC
National Provider Identifier
1114210531
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7797 Issued in NC
Legal business name
LORETTE M. POLITE-YOUNG DDS PA
Practice address
2514 Cuthbertson Rd
Suite B
Waxhaw, NC 28173-6416
Phone
(704) 243-5898
Fax
(704) 843-4516
NPI assigned
May 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lorette M Polite-Young, DDSNPI 1932210549
Title
President
Phone
(803) 548-8377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 7797 NC Primary

Addresses

Primary practice location

2514 Cuthbertson Rd
Suite B
Waxhaw, NC 28173-6416

Mailing address

2514 Cuthbertson Rd
Suite B
Waxhaw, NC 28173-6416
Phone (704) 243-5898

Other names 1

  • Young & Polite Children's Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2514 Cuthbertson Rd
Ste B
Waxhaw, NC 28173
Phone (704) 243-5898

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1114210531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 CUTHBERTSON RD",
            "address_2": "SUITE B",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736416",
            "telephone_number": "704-243-5898",
            "fax_number": "704-843-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 CUTHBERTSON RD",
            "address_2": "SUITE B",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736416",
            "telephone_number": "704-243-5898",
            "fax_number": "704-843-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORETTE M. POLITE-YOUNG DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "POLITE-YOUNG",
        "authorized_official_first_name": "LORETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-548-8377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "7797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young & Polite Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.