Provider Demographics
NPI:1073060356
Name:DR. LYNSEY T DOAN, PC
Entity Type:Organization
Organization Name:DR. LYNSEY T DOAN, PC
Other - Org Name:LYNSEY T DOAN, DMD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LYNSEY
Authorized Official - Middle Name:THANH
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-669-6208
Mailing Address - Street 1:120 N MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2248
Mailing Address - Country:US
Mailing Address - Phone:508-455-5330
Mailing Address - Fax:
Practice Address - Street 1:120 N MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2248
Practice Address - Country:US
Practice Address - Phone:508-455-5330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-05
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN217011223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty