Provider Demographics
NPI:1689359796
Name:JANNE M. LYNCH, DDS, PLLC
Entity Type:Organization
Organization Name:JANNE M. LYNCH, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANNE
Authorized Official - Middle Name:MARJORIE
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-384-0571
Mailing Address - Street 1:13203 N 103RD AVE STE G1
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-6015
Mailing Address - Country:US
Mailing Address - Phone:623-933-8882
Mailing Address - Fax:
Practice Address - Street 1:13203 N 103RD AVE STE G1
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-6015
Practice Address - Country:US
Practice Address - Phone:623-933-8882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-16
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No122300000XDental ProvidersDentistGroup - Single Specialty