Lynn C Van Pelt, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2982-97 Issued in MS

Practice address

801 Thompson Ave
Suite 338
Rockville, MD 20852-1627

Phone

(301) 443-2017

Fax

(301) 594-6610

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1720168875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 THOMPSON AVE",
            "address_2": "SUITE 338",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521627",
            "telephone_number": "301-443-2017",
            "fax_number": "301-594-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 THOMPSON AVE",
            "address_2": "SUITE 338",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521627",
            "telephone_number": "301-443-2017",
            "fax_number": "301-594-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PELT",
        "first_name": "LYNN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2982-97",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turia Van de Graaff
• Jon Van Den Valentyn, D.C.
• Walter Paul Van Den Valentyn, D.C.
• Oleg Van Goch
• Karen Elizabeth Van Orden, OTR
• Samantha Van Terheyden
• Jamie Van Wagoner
• Sarah Vanbuiten
• Carly Vance
• Kelli Vance

• General Practice Dentistry in Rockville, MD
• Providers in Rockville, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.