Provider Demographics
NPI:1194384727
Name:LYONS, OLIVIA TRANCIK (DDS)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:TRANCIK
Last Name:LYONS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:REBECCA
Other - Last Name:TRANCIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:HENDRICKS FAMILY DENTISTRY, 737 LITTLE NECK ROAD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452
Mailing Address - Country:US
Mailing Address - Phone:317-902-0544
Mailing Address - Fax:
Practice Address - Street 1:HENDRICKS FAMILY DENTISTRY, 737 LITTLE NECK ROAD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452
Practice Address - Country:US
Practice Address - Phone:317-902-0544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-07
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013145A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist