Provider Demographics
NPI:1255515367
Name:JOHN D. PINCH, D.D.S., PC
Entity type:Organization
Organization Name:JOHN D. PINCH, D.D.S., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-947-5915
Mailing Address - Street 1:1942 THOMSON DRIVE
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1022
Mailing Address - Country:US
Mailing Address - Phone:434-947-5915
Mailing Address - Fax:434-947-5936
Practice Address - Street 1:1942 THOMSON DRIVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1022
Practice Address - Country:US
Practice Address - Phone:434-947-5915
Practice Address - Fax:434-947-5936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty