Lynne Susan Brodell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9121 Issued in MD

Practice address

12600 Winchester Rd SW
Lavale, MD 21502-6551

Phone

(301) 729-0444

Fax

(301) 729-0404

NPI assigned

Oct 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Practice roles

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.

• Lynne S Brodell DDS

  • General Practice Dentistry
  • Lavale, MD
  • NPI 1437223682
  NPD (past) Authorized official
• Ryan D Pensyl, DMD, PA

  • General Practice Dentistry
  • Cumberland, MD
  • NPI 1073022562
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386724490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 WINCHESTER RD SW",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215026551",
            "telephone_number": "301-729-0444",
            "fax_number": "301-729-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 WINCHESTER RD SW",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215026551",
            "telephone_number": "301-729-0444",
            "fax_number": "301-729-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODELL",
        "first_name": "LYNNE",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany M Bradley, ADT
• Suzanne Brandenburg, L.C.A.D.C, L.C.P.C.
• Felicia Brant, LPN
• Haleigh Faye Brenneman, LCPC
• George Michael Breza, M.D.
• Jana Lee Brown, AUD
• Jacquelynn Lorena Browning, APRN, NP-C
• Emily Suzanne Cerda, MS, CNS, LDN
• Tiffany Chandler, CPRS
• Chapman and Associates Health Care, LLC

• General Practice Dentistry in Lavale, MD
• Providers in Lavale, MD by specialty
• General Practice Dentistry in Maryland

• 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.