JOHN W LYNN DDS LTD (NPI# 1952573297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952573297 |
| Entity Type | Organization |
| Organization Name | JOHN W LYNN DDS LTD |
| Practice Address |
104 Morton Avenue Petersburg VA 23805 |
| Practice Telephone | 8047320056 |
| Practice Fax Number | 8047321420 |
| Mailing Telephone | 8047320056 |
| Mailing Fax Number | 8047321420 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | JOHN WORTH LYNN (PRESIDENT OWNER) |
| Authorized Official Telephone | 8044320056 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401002896 | VA | Dental Providers |
| Street Address |
104 MORTON AVENUE |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568973725 | Milan Bhagat, Dmd, Pllc | Dentist | 3277 S Crater Rd Ste B, Petersburg, VA 23805-9285 | 2017-10-16 |
| 1285936872 | Donald P. Hartman | Dentist | 213 N 5th, Petersburg, IL 62675-1303 | 2010-12-02 |
| 1326260621 | Philip Gaither Beardslee | Dentist | 608 S Nordic, Petersburg, AK 99833 | 2007-05-03 |
| 1114143203 | David Arnold Spencer | Dentist | 806 S Nordic, Petersburg, AK 99833-0469 | 2007-04-17 |
| 1770607616 | James Keith Johnson | Dentist | 6204 Duncan Rd, Petersburg, VA 23803-7442 | 2007-03-17 |
| 1578621645 | Jeffrey G Kimble | Dentist | 211 Virginia Avenue, Petersburg, WV 26847 | 2006-12-04 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1801974621 | Charles Francis Griffin | Dentist | 3277 S Cratrer Rd, Petersburg, VA 23805 | 2006-11-01 |
| 1477648905 | Hugh Coleman Dowdy | Dentist | 700 S. Sycamore St, 17, Petersburg, VA 23803-5802 | 2006-10-03 |
| 1942319264 | Herbert Reed Boyd IIi | Dentist | 23 Goodrich Ave, Petersburg, VA 23805-2119 | 2006-08-30 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
Please comment or provide details below to improve the information on JOHN W LYNN DDS LTD.
| 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.