Henry D Lyon DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HENRY D LYON DDS PC

Doing business as

Emergency Dental

Practice address

2454 W Glenlord Rd
Stevensville, MI 49127-9557

Phone

(269) 428-2222

NPI assigned

Dec 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Henry Lyon, DDSNPI 1467476184

Title

President

Phone

(269) 428-2222

Specialties & licenses 1

Addresses

Other names 1

• Emergency Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry D Lyon, D.D.S.

  • General Practice Dentistry
  • Stevensville, MI
  • NPI 1467476184
  NPD (past) Authorized official

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1881166429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 W GLENLORD RD",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279557",
            "telephone_number": "269-428-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 W GLENLORD RD",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279557",
            "telephone_number": "269-428-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY D LYON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-428-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gym Rat Performance and Wellness LLC
• Patrick Michael Hackett, DC
• Tracy Marie Hanson, PHARMD
• Wendy L Hays, NP
• Patrick T Hellner, DDS
• Janet Hinckley, CCC-SLP
• Richard L Hines, MD
• Richard A Hirschler, MD
• Patrick W Holbert, M.D.
• Melissa Hultman, PA-C

• Dental Clinic/Center in Stevensville, MI
• Providers in Stevensville, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.