Active NPI
Lynn W. Solomon, D.D.S., M.S.
- Oral and Maxillofacial Pathology Dentistry
- Davie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- DN 20025
- Practice address
- 3200 S University Dr
CDM Room 7377
Davie, FL 33328-2018 - Phone
- (954) 262-1761
- Fax
- (954) 262-3882
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | SOLOL1 | NY | |
| Specialist | 174400000X | 21786 | MA | |
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | DN 20025 | FL | Primary |
Addresses
Primary practice location
3200 S University Dr
CDM Room 7377
Davie, FL 33328-2018
Mailing address
PO Box 290370
Ft Lauderdale, FL 33329-0370
Phone (954) 262-4346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 20025 | FL | MD | Oral and Maxillofacial Pathology Dentist |
| 21786 | MA | MD | Specialist |
| SOLOL1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current | Accepting new patients | |
| Nova Southeastern University, Inc | Current | Accepting new patients | |
| Nova Southeastern University, Inc | Current | Accepting new patients | |
| Nova Southeastern University Inc. | Current | Accepting new patients | |
| Trustees of Tufts College | Past | Accepting new patients | |
| Nova Southeastern University, Inc | Past | Accepting new patients |
Locations
3200 S University Dr
Rm 7377
Davie, FL 33328
Phone (954) 262-1761
3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250
650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213
1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889
Organizations & group practices 6
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.
-
- Optometrist
- Fort Lauderdale, FL
- NPI 1700924511
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Clinical Medical Laboratory
- Fort Lauderdale, FL
- NPI 1770533390
-
- Optometrist
- North Miami Beach, FL
- NPI 1225277650
-
- Family Medicine Physician
- Davie, FL
- NPI 1447345517
-
dba Tufts Oral Pathology Services
- Clinical Medical Laboratory
- Boston, MA
- NPI 1801938014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1619056280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290370",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333290370",
"telephone_number": "954-262-4346",
"fax_number": "954-262-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 S UNIVERSITY DR",
"address_2": "CDM ROOM 7377",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282018",
"telephone_number": "954-262-1761",
"fax_number": "954-262-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "LYNN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "SOLOL1",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "21786",
"primary": false
},
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "FL",
"license": "DN 20025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.