George Thomas Lynch IV, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS036787 Issued in PA

Practice address

1352 South St
C5
Philadelphia, PA 19147-1858

Phone

(267) 909-9551

Fax

(267) 909-9761

NPI assigned

Jun 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Cobblestone Kids Pediatric Dentistry of New Jersey

  • Pediatric Dentistry
  • Cherry Hill, NJ
  • NPI 1790367431
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1548464761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WASHINGTON AVE",
            "address_2": "V1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473839",
            "telephone_number": "267-909-9551",
            "fax_number": "267-909-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 SOUTH ST",
            "address_2": "C5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471858",
            "telephone_number": "267-909-9551",
            "fax_number": "267-909-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "GEORGE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "2342700",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS036787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Lynch
• Claire Michelle Lynch
• Colleen Quigley Lynch, MD
• David R Lynch
• Dorothy Marie Lynch, MSW LCSW
• Jennifer Marie Lynch, MD, PHD
• John Patrick Lynch, MD
• Karli Lynch, PT, DPT
• Kristle Lee Lynch
• Malene Lee Lynch, PHARM.D.

• Pediatric Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.