DR. GEORGE THOMAS LYNCH IV (NPI# 1548464761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548464761 |
| Entity Type | Individual |
| Full Name | DR. GEORGE THOMAS LYNCH IV |
| Credential | DMD |
| Practice Address |
1352 South St C5 Philadelphia PA 19147-1858 |
| Mailing Address |
1101 Washington Ave V1 Philadelphia PA 19147-3839 |
| Practice Telephone | 2679099551 |
| Practice Fax Number | 2679099761 |
| Mailing Telephone | 2679099551 |
| Mailing Fax Number | 2679099761 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2011-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS036787 | PA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2342700 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588641419 | George Michael Lynch | Family Medicine | 3914 Centreville Rd, #250, Chantilly, VA 20151-3224 | 2005-12-30 |
| 1447257274 | George Brandon Lynch | Surgery | 300 20th Ave N Ste 301, Nashville, TN 37203-2173 | 2005-07-07 |
| 1134136658 | George Lynch | Emergency Medicine | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2006-08-01 |
| Street Address |
1352 SOUTH ST C5 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19147-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255745238 | Katharine Laura Woehling | Dentist | 1352 South St, #c5, Philadelphia, PA 19147-1858 | 2014-06-17 |
| 1093015406 | Cobblestone Kids Pediatric Dentistry | Dentist | 1352 South St, C5, Philadelphia, PA 19147-1858 | 2010-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
| 1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
| 1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
| 1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
| 1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
| 1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
| Find all providers in zip 19147 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235544008 | Lauren Julie Harper | Dentist | 8566 Bustleton Ave, Philadelphia, PA 19152-1218 | 2014-06-30 |
| 1871933036 | Mara Teplitsky | Dentist | 1616 Walnut St Apt 401, Philadelphia, PA 19103-5323 | 2013-07-02 |
| 1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
| 1356570352 | Rosana Rosentrater | Dentist | 240 South 40th St Suite F-17, University of Pennsylvania School of Dental Medicine, Philadelphia, PA 19104-6003 | 2009-07-11 |
| 1790935898 | Monika Srivastava | Dentist | 1352 South St # C5c4, Philadelphia, PA 19147-1858 | 2008-09-25 |
| 1255594842 | Dana Kristanne Chianese | Dentist | 2301 E Allegheny Ave Ste 201, Philadelphia, PA 19134-4427 | 2008-07-03 |
| 1053513614 | Rajbir Sanghvi | Dentist | 1835 Arch St Apt 903, Philadelphia, PA 19103-2779 | 2007-06-04 |
| 1477631562 | Howard Marvin Rosenberg | Dentist | 4001 Spruce St, Pediatric Dentistry, Philadelphia, PA 19104-4118 | 2006-11-02 |
| 1669402517 | Douglas Richard Reich | Dentist | 7122 Rising Sun Ave, Philadelphia, PA 19111-3957 | 2006-07-04 |
| 1245298363 | Irving Warren Jacobson | Dentist | 1916 Welsh Rd, Philadelphia, PA 19115-4655 | 2006-05-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19147 |
Please comment or provide details below to improve the information on DR. GEORGE THOMAS LYNCH IV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.