Provider Demographics
NPI:1154455111
Name:JONES, LYNN ALLISON (DDS)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ALLISON
Last Name:JONES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 NE 8TH ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4345
Mailing Address - Country:US
Mailing Address - Phone:425-688-1345
Mailing Address - Fax:425-688-1390
Practice Address - Street 1:10500 NE 8TH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4345
Practice Address - Country:US
Practice Address - Phone:425-688-1345
Practice Address - Fax:425-688-1390
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000051761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice