Provider Demographics
NPI:1568680411
Name:LYONS, GARRETT BROWNE JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:BROWNE
Last Name:LYONS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WEST ROCKLAND ROAD
Mailing Address - Street 2:SUITE P-1
Mailing Address - City:MONTCHANIN
Mailing Address - State:DE
Mailing Address - Zip Code:19710-0295
Mailing Address - Country:US
Mailing Address - Phone:302-654-1765
Mailing Address - Fax:302-777-1883
Practice Address - Street 1:100 WEST ROCKLAND ROAD
Practice Address - Street 2:SUITE P-1
Practice Address - City:MONTCHANIN
Practice Address - State:DE
Practice Address - Zip Code:19710-0295
Practice Address - Country:US
Practice Address - Phone:302-654-1765
Practice Address - Fax:302-777-1883
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDE03161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice