Provider Demographics
NPI:1275506008
Name:PIERRI, LYNN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:PIERRI
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:DR
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:PIERRI, DDS, MS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS MS
Mailing Address - Street 1:400 TOWNLINE RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2838
Mailing Address - Country:US
Mailing Address - Phone:631-360-0266
Mailing Address - Fax:631-360-0087
Practice Address - Street 1:400 TOWNLINE RD
Practice Address - Street 2:SUITE 135
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2838
Practice Address - Country:US
Practice Address - Phone:631-360-0266
Practice Address - Fax:631-360-0087
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1768200211223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY176820021OtherADA LICENSE
NY037333-1OtherNYS REG
NY037333-1OtherNYS REG
NY6497830001Medicare NSC
NY037333-1OtherNYS REG
NYD0F661Medicare UPIN
NY6497830001Medicare NSC