Charles A. Lynn Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI17833 Issued in NJ

Practice address

300 N Main St
Milltown, NJ 08850-1421

Phone

(732) 828-0228

Fax

(732) 545-3222

NPI assigned

Jan 29, 2007

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124164165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 BROOK DR",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501429",
            "telephone_number": "732-247-9082",
            "fax_number": "732-545-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501421",
            "telephone_number": "732-828-0228",
            "fax_number": "732-545-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "CHARLES",
        "middle_name": "A.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI17833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Jieun Lee, PHARM.D
• Christopher Lerro, LSW
• Jacqueline Levinski, OT
• Amy Loughran, PTA
• Steven James Lyle, PHARMD
• Tarra Joy Madore, D.C.
• Main Street Medical Center, PC
• Eileen Mancuso, PT
• Hector Humberto Martinez, RD, CSSD, ISAK1
• Wylene Samantha McDowell, LSW

• General Practice Dentistry in Milltown, NJ
• Providers in Milltown, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.