Provider Demographics
NPI:1457485120
Name:RONALD D. LYNCH, D.D.S., P.C.
Entity Type:Organization
Organization Name:RONALD D. LYNCH, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-546-0301
Mailing Address - Street 1:369 JOHNSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-5309
Mailing Address - Country:US
Mailing Address - Phone:757-546-0301
Mailing Address - Fax:757-546-0311
Practice Address - Street 1:369 JOHNSTOWN RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5309
Practice Address - Country:US
Practice Address - Phone:757-546-0301
Practice Address - Fax:757-546-0311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
790867OtherUNITED CONCORDIA
055090OtherANTHEM BCBS OF VA