Provider Demographics
NPI:1932296076
Name:MABENE, LYNDA A (DMD)
Entity Type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:A
Last Name:MABENE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 US HIGHWAY 202
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-6022
Mailing Address - Country:US
Mailing Address - Phone:908-284-5050
Mailing Address - Fax:908-284-5057
Practice Address - Street 1:453 US HIGHWAY 202
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-6022
Practice Address - Country:US
Practice Address - Phone:908-284-5050
Practice Address - Fax:908-284-5057
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 202531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice