Provider Demographics
NPI:1548559255
Name:AARON I. LINCHUCK, D.D.S.,P.A.
Entity Type:Organization
Organization Name:AARON I. LINCHUCK, D.D.S.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:I
Authorized Official - Last Name:LINCHUCK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-441-2550
Mailing Address - Street 1:6201 GREENBELT RD STE U5
Mailing Address - Street 2:
Mailing Address - City:BERWYN HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2361
Mailing Address - Country:US
Mailing Address - Phone:301-441-2550
Mailing Address - Fax:301-441-2552
Practice Address - Street 1:6201 GREENBELT RD STE U5
Practice Address - Street 2:
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740-2361
Practice Address - Country:US
Practice Address - Phone:301-441-2550
Practice Address - Fax:301-441-2552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4046122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty