Jacqueline Nicole Lynch, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27119 Issued in FL

Practice address

3665 Bee Ridge Rd Ste 108
Sarasota, FL 34233-1058

Phone

(941) 953-4288

NPI assigned

Apr 29, 2022

Last updated

Aug 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dixon Dental Concepts Inc

  dba Aspen Dental

  • Dentist
  • University Park, FL
  • NPI 1942587399
  NPD (past)

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1053056580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 BEE RIDGE RD STE 108",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331058",
            "telephone_number": "941-953-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 BEE RIDGE RD STE 108",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331058",
            "telephone_number": "941-953-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "JACQUELINE",
        "middle_name": "NICOLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27119",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Christine-Bozik Lyman, PA
• Kimberly A Lyn Shue, MD
• Agnes Lynch, FNP
• Frank Lynch, LCSW
• Heather Macarthur Lynch, BSW
• Mary Lynch, ARNP
• Patty J Lynch, LMT
• Susan Michelle Lynch, PA
• Lynda Coggins Crna P a
• Jeffrey S. Lyons, D.O.

• General Practice Dentistry in Sarasota, FL
• Providers in Sarasota, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.