Stephen M Lyon, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

064587 Issued in NY

Practice address

3435 Main Street
Squire Hall 240
Buffalo, NY 14214-6867

Phone

(716) 829-3602

Fax

(716) 829-3501

NPI assigned

Jul 25, 2008

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 20, 2016 through Apr 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1326203696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 MAIN STREET",
            "address_2": "SQUIRE HALL 240",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142146867",
            "telephone_number": "716-829-3602",
            "fax_number": "716-829-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 MAIN STREET",
            "address_2": "SQUIRE HALL 240",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142146867",
            "telephone_number": "716-829-3602",
            "fax_number": "716-829-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2025-07-16",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MT",
            "license": "1871",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "064587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Lynch, LCSW
• Michael Lynch, MSW
• Michael Lynch, DMD, PHD
• Sarah Denise Lynch, CASAC-T
• Kevin Lyon, DO
• Jennifer Lyons
• Andrew Michael Lysogorski
• Kristin Erika Lythgoe, D.O.
• M a Stutzman Addiction Treatment Center
• M. Reza Samie MD PLLC

• Endodontics in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.