Provider Demographics
NPI:1013950013
Name:FLYNN, A. PATRICK (D,M,D)
Entity Type:Individual
Prefix:DR
First Name:A.
Middle Name:PATRICK
Last Name:FLYNN
Suffix:
Gender:M
Credentials:D,M,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 19TH ST NW
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-3603
Mailing Address - Country:US
Mailing Address - Phone:202-293-5443
Mailing Address - Fax:
Practice Address - Street 1:1111 19TH ST NW
Practice Address - Street 2:SUITE 203
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3603
Practice Address - Country:US
Practice Address - Phone:202-293-5443
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC27941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice