Provider Demographics
NPI:1760660385
Name:LENK ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:LENK ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:LENK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-868-1919
Mailing Address - Street 1:12 MATHES TER
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03824-2302
Mailing Address - Country:US
Mailing Address - Phone:603-868-1919
Mailing Address - Fax:603-389-9029
Practice Address - Street 1:12 MATHES TER
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03824-2302
Practice Address - Country:US
Practice Address - Phone:603-868-1919
Practice Address - Fax:603-389-9029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH30611223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty