Gavin P Lynch D.D.S. , P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048095 Issued in NY

Legal business name

GAVIN P LYNCH D.D.S. , P.C.

Practice address

309 Kasson Rd
Camillus, NY 13031

Phone

(315) 487-1591

Fax

(315) 487-4363

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gavin Lynch, DDSNPI 1134276330

Title

President ,Owner

Phone

(315) 487-1591

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gavin Patric Lynch, DDS

  • General Practice Dentistry
  • Camillus, NY
  • NPI 1134276330
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487876967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 KASSON RD",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "13031",
            "telephone_number": "315-487-1591",
            "fax_number": "315-487-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 KASSON RD",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "13031",
            "telephone_number": "315-487-1591",
            "fax_number": "315-487-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVIN P LYNCH D.D.S. , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "PRESIDENT ,OWNER",
        "authorized_official_telephone_number": "315-487-1591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Anne Frese, LPN
• Kevin Michael Fucillo, PHARM.D.
• Krista Marianne Gabor
• Gabriel Briggs Physical Therapy, PLLC
• Judith C Garrett, NP
• Adam Gerber, MD, PHD
• Oksana Germakovski
• Rachael Gilfus, FNP
• Colleen Elizabeth Gilligan
• Caroline Goldschein, LMHC, LPC

• General Practice Dentistry in Camillus, NY
• Providers in Camillus, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.