Provider Demographics
NPI:1942668769
Name:LYNN SLEEP WELLNESS SOLUTIONS
Entity Type:Organization
Organization Name:LYNN SLEEP WELLNESS SOLUTIONS
Other - Org Name:D. BROCK LYNN, DDS, MS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:D. BROCK
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:972-934-1477
Mailing Address - Street 1:6190 LBJ FWY STE 900
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6348
Mailing Address - Country:US
Mailing Address - Phone:972-934-1477
Mailing Address - Fax:972-934-0195
Practice Address - Street 1:6190 LBJ FWY STE 900
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6348
Practice Address - Country:US
Practice Address - Phone:972-934-1477
Practice Address - Fax:972-934-0195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-08
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12590122300000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7545210001Medicare NSC