Trevann F Lyn, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3985 Issued in WV

Practice address

7544 Belair Rd
Nottingham, MD 21236-4108

Phone

(410) 665-2500

Fax

(410) 665-3235

NPI assigned

Aug 27, 2008

Last updated

Jul 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Akeso Orafacial Maxillary Surgery

  dba Nottingham Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Nottingham, MD
  • NPI 1245742741
  NPD (past) Authorized official
• Akeso Orofacial Surgery, LLC

  dba Laurel Oral Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Laurel, MD
  • NPI 1457913907
  NPD (past) Authorized official
• Catonsville Oral Surgery, LLC

  dba Catonsville Oral Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Catonsville, MD
  • NPI 1437711983
  NPD (past)
• Associated Oral & Maxillofacial Surgeons, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Martinsburg, WV
  • NPI 1346310505
  NPD (past)

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1902053309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7544 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364108",
            "telephone_number": "410-665-2500",
            "fax_number": "304-274-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7544 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364108",
            "telephone_number": "410-665-2500",
            "fax_number": "410-665-3235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13934 Baltimore Ave",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207075000",
            "country_code": "US",
            "telephone_number": "410-665-2500",
            "fax_number": "410-665-3235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 Sushruta Drive",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "25401",
            "country_code": "US",
            "telephone_number": "304-263-0991 x211",
            "fax_number": "304-274-9546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Frederick Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284607",
            "country_code": "US",
            "telephone_number": "410-744-4484",
            "fax_number": "410-665-3235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYN",
        "first_name": "TREVANN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WV",
            "license": "3985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810023314",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lowery
• Taylor Luallen, LMSW
• Lume Wellness LLC
• Maureen Luthardt, CRNP
• Luxottica of America Inc (For Eyes (Cm295))
• Hannah Lyons
• Kathryn Clark Macdougall
• Samuel Charles Macnichol, PHARMD
• David Madder, DO
• Anne Marie Maggio, RDH

• Oral and Maxillofacial Surgery (Dentist) in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.