Provider Demographics
NPI:1083845929
Name:LYNN, ASHLEY ELIZABETH (DMD MSD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ELIZABETH
Last Name:LYNN
Suffix:
Gender:F
Credentials:DMD MSD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ELIZABETH
Other - Last Name:MCCOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15198 W HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-5531
Mailing Address - Country:US
Mailing Address - Phone:352-275-7423
Mailing Address - Fax:
Practice Address - Street 1:5392 S WADSWORTH BLVD UNIT 103
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80123-1271
Practice Address - Country:US
Practice Address - Phone:303-979-4277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN186521223X0400X
TX00246921223X0400X
CODEN.002023971223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics