Active NPI
Lynette Renee Jones-Dove, D.D.S
- Dentist
- Berwyn Heights, MD
National Provider Identifier
1508991647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13672
- Practice address
- 6103 Greenbelt Rd
Berwyn Heights, MD 20740-2316 - Phone
- (301) 345-5656
- NPI assigned
- Feb 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13672 | MD | Primary |
Addresses
Primary practice location
6103 Greenbelt Rd
Berwyn Heights, MD 20740-2316
Mailing address
6103 Greenbelt Rd
Berwyn Heights, MD 20740-2316
Phone (301) 345-5656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- General Practice Dentistry
- College Park, MD
- NPI 1760981120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508991647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6103 GREENBELT RD",
"city": "BERWYN HEIGHTS",
"state": "MD",
"postal_code": "207402316",
"telephone_number": "301-345-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6103 GREENBELT RD",
"city": "BERWYN HEIGHTS",
"state": "MD",
"postal_code": "207402316",
"telephone_number": "301-345-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES-DOVE",
"first_name": "LYNETTE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "13672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn Heights, MD
Sources for this page
- 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.