Provider Demographics
NPI:1265575492
Name:LYONS, A SIDNEY (DMD)
Entity type:Individual
Prefix:DR
First Name:A
Middle Name:SIDNEY
Last Name:LYONS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1235
Mailing Address - Country:US
Mailing Address - Phone:215-538-9505
Mailing Address - Fax:215-538-5246
Practice Address - Street 1:416 W BROAD ST
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1235
Practice Address - Country:US
Practice Address - Phone:215-538-9505
Practice Address - Fax:215-538-5246
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026135L1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics