Provider Demographics
NPI:1770662918
Name:LYNN A MONSTWIL DDS INC
Entity Type:Organization
Organization Name:LYNN A MONSTWIL DDS INC
Other - Org Name:WESTERVILLE FAMILY DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MONSTWIL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-882-9828
Mailing Address - Street 1:811 EASTWIND DRIVE
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081
Mailing Address - Country:US
Mailing Address - Phone:614-882-9828
Mailing Address - Fax:614-839-0393
Practice Address - Street 1:811 EASTWIND DRIVE
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081
Practice Address - Country:US
Practice Address - Phone:614-882-9828
Practice Address - Fax:614-839-0393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0200371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty