Lynette S. Crocker, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LYNETTE S. CROCKER, DDS, PA

Doing business as

Durham Dental Studio

Practice address

6104 Fayetteville Road
Suite 104
Durham, NC 27713-6283

Phone

(919) 544-6727

Fax

(919) 484-1434

NPI assigned

Nov 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lynette Stevens Crocker, DDS

Title

Owner/Dentist

Phone

(919) 544-6727

Specialties & licenses 1

Addresses

Other names 1

• Durham Dental Studio Doing business as

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1639456668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 FAYETTEVILLE ROAD",
            "address_2": "SUITE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136283",
            "telephone_number": "919-544-6727",
            "fax_number": "919-484-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 FAYETTEVILLE ROAD",
            "address_2": "SUITE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136283",
            "telephone_number": "919-544-6727",
            "fax_number": "919-484-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNETTE S. CROCKER, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "STEVENS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "919-544-6727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durham Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jada Lynch
• Justin R Lynch, PA-C
• Megan Nicole Lynch, MA, CCC-SLP, CBIS
• Sandra Allyson Lynch
• Thomas Lynch
• Brandy Jo Lynn, M.A.O.M., L.AC.
• Christopher Lyon, NP
• Gabriela Maria Geraldine Lyons
• Hanna Clay Lyons, PT
• Jesseka Lyons, RBT

• General Practice Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.