John W Lynn DDS LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401002896 Issued in VA

Legal business name

JOHN W LYNN DDS LTD

Practice address

104 Morton Avenue
Petersburg, VA 23805

Phone

(804) 732-0056

Fax

(804) 732-1420

NPI assigned

Mar 27, 2008

Last updated

Mar 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Worth Lynn, DDSNPI 1457342156

Title

President Owner

Phone

(804) 432-0056

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Worth Lynn, DDS

  • Dentist
  • Petersburg, VA
  • NPI 1457342156
  NPD (past) Authorized official

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1952573297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MORTON AVENUE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23805",
            "telephone_number": "804-732-0056",
            "fax_number": "804-732-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MORTON AVENUE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23805",
            "telephone_number": "804-732-0056",
            "fax_number": "804-732-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W LYNN DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WORTH",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "804-432-0056",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401002896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolph Mitchell Jenkins Jr., M.D.
• Ernest Jeter
• Rose R Jeter, LCSW
• Xiao Hong Jin, MD
• John T. Marshall M.D P.C
• Ellyse Johns, PT
• Ashley P B Johnson, CD, BEC
• Brendan Johnson
• Daijah Johnson, PTCB, LCPC, LMHC
• Danna Elizabeth Johnson, MD

• General Practice Dentistry in Petersburg, VA
• Providers in Petersburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.