Provider Demographics
NPI:1043217714
Name:LYON, BARRY DENIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:DENIS
Last Name:LYON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7704 QUARTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4412
Mailing Address - Country:US
Mailing Address - Phone:410-760-1212
Mailing Address - Fax:410-760-1422
Practice Address - Street 1:7704 QUARTERFIELD RD
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4412
Practice Address - Country:US
Practice Address - Phone:410-760-1212
Practice Address - Fax:410-760-1422
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD061641223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry