Lynette Renee Jones-Dove, D.D.S
Individual provider Active NPI Dentist · Berwyn Heights, MD
NPI 1508991647 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508991647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 13672 (MD)
- Practice address
- 6103 Greenbelt Rd
Berwyn Heights, MD 20740-2316 - Phone
- (301) 345-5656
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13672 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13672 | MD | Yes |
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
Other providers in Berwyn Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.