Sara Louise Lynde, D.M.D.
Individual provider Active NPI General Practice Dentistry · Elizabethville, PA
NPI 1396973970 · NPPES record last updated Dec 19, 2024
Key facts
- NPI
- 1396973970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS037949 (PA)
- Practice address
- 301 State Dr
Elizabethville, PA 17023-8661 - Phone
- (717) 692-4847
- Fax
- (717) 692-4848
- NPI assigned
- Jun 23, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS037949 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David R Russell Dmdpc, Dba'Rising Sun Dental Care' | General Practice | Current |
Accepting new patients |
Locations
301 State Dr
Elizabethville, PA 17023
Phone (717) 692-4847
660 Rising Sun Rd
Millersburg, PA 17061
Phone (717) 362-8900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS037949 | PA | Yes |
Addresses
Primary practice location
301 State Dr
Elizabethville, PA 17023-8661
Mailing address
301 State Dr
Elizabethville, PA 17023-8661
Phone (717) 692-4847
Other providers in Elizabethville, PA
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- Cortney Kieffer
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- Autumn Rose Koppenhaver
- Karyn Ligon
- Keith Malzi
- Brynne Alison Manning
- Shannon Lee Miller
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All providers in Elizabethville, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.