Provider Demographics
NPI:1467709683
Name:ROBERT L YOUNG 2 DDS PA
Entity Type:Organization
Organization Name:ROBERT L YOUNG 2 DDS PA
Other - Org Name:YOUNG AND POLITE CHILDREN'S DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-516-7549
Mailing Address - Street 1:7215 LEBANON RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-9026
Mailing Address - Country:US
Mailing Address - Phone:704-248-0229
Mailing Address - Fax:
Practice Address - Street 1:7215 LEBANON RD
Practice Address - Street 2:SUITE F
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-9026
Practice Address - Country:US
Practice Address - Phone:704-248-0229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC78211223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty