Provider Demographics
NPI:1588023212
Name:LYNN A JONES DDS PS
Entity Type:Organization
Organization Name:LYNN A JONES DDS PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL HYGIENIST/ADMIN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-688-1345
Mailing Address - Street 1:10500 NE 8TH ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4345
Mailing Address - Country:US
Mailing Address - Phone:425-688-1345
Mailing Address - Fax:425-688-1390
Practice Address - Street 1:10500 NE 8TH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4345
Practice Address - Country:US
Practice Address - Phone:425-688-1345
Practice Address - Fax:425-688-1390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00005176261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental