Provider Demographics
NPI:1093077653
Name:LORINCZ, JOHN EMERY (DMD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:EMERY
Last Name:LORINCZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5929 CONSTITUTION AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80915-1211
Mailing Address - Country:US
Mailing Address - Phone:719-638-1986
Mailing Address - Fax:719-638-7532
Practice Address - Street 1:5929 CONSTITUTION AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80915-1211
Practice Address - Country:US
Practice Address - Phone:719-638-1986
Practice Address - Fax:719-638-7532
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO106671223G0001X
NY0438131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice