Wesley O. Lynch III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3430 Issued in LA

Practice address

300 E Reynolds Dr
Ruston, LA 71270-2817

Phone

(318) 251-0163

Fax

(318) 251-0143

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053420240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E REYNOLDS DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702817",
            "telephone_number": "318-251-0163",
            "fax_number": "318-251-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E REYNOLDS DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702817",
            "telephone_number": "318-251-0163",
            "fax_number": "318-251-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "WESLEY",
        "middle_name": "O.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Abigail Lozano
• LTP Medical Mobile, Inc. (The Health Hut)
• Gary Luffey, M.D.
• Brittany Luttrell, ATC
• Edward Patrick Lynam, M.D.
• Jadah Simone Lyons
• Tolithia Lyons, MS
• M Kneeland LLC
• Christina Renee Madix, M.A., CCC-SLP
• Steven Glen Madix, PH.D., CCC-A-SLP

• General Practice Dentistry in Ruston, LA
• Providers in Ruston, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.