Provider Demographics
NPI:1356411557
Name:YOUNG, SCOTT A (DDS)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:A
Last Name:YOUNG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7810 PINEVILLE MATTHEWS RD
Mailing Address - Street 2:#2
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-5315
Mailing Address - Country:US
Mailing Address - Phone:704-541-5900
Mailing Address - Fax:704-541-5454
Practice Address - Street 1:7810 PINEVILLE MATTHEWS RD
Practice Address - Street 2:#2
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-5315
Practice Address - Country:US
Practice Address - Phone:704-541-5900
Practice Address - Fax:704-541-5454
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC51171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice