Provider Demographics
NPI:1093898769
Name:LYONS, PATRICIA R (DMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:R
Last Name:LYONS
Suffix:
Gender:F
Credentials:DMD
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Other - Credentials:
Mailing Address - Street 1:320 SOUTH MAIN STREET
Mailing Address - Street 2:CORPORATE OFFICE 2ND FLOOR DENTAL HEALTH ASSOCIATES
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865
Mailing Address - Country:US
Mailing Address - Phone:908-387-6120
Mailing Address - Fax:908-387-8322
Practice Address - Street 1:1636 21 RTE 38 LUMBERTON PLAZA
Practice Address - Street 2:DENTAL HEALTH ASSOCIATES PA
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048
Practice Address - Country:US
Practice Address - Phone:609-914-5050
Practice Address - Fax:609-914-5059
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJDI0231871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice