Provider Demographics
NPI:1508991647
Name:JONES-DOVE, LYNETTE RENEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LYNETTE
Middle Name:RENEE
Last Name:JONES-DOVE
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 1:6103 GREENBELT RD
Mailing Address - Street 2:
Mailing Address - City:BERWYN HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2316
Mailing Address - Country:US
Mailing Address - Phone:301-345-5656
Mailing Address - Fax:
Practice Address - Street 1:6103 GREENBELT RD
Practice Address - Street 2:
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740-2316
Practice Address - Country:US
Practice Address - Phone:301-345-5656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13672122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist