Provider Demographics
NPI:1336206895
Name:ALINA E LYONS DMD PA
Entity Type:Organization
Organization Name:ALINA E LYONS DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:E
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:609-298-8309
Mailing Address - Street 1:806 FARNSWORTH AVENUE
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505
Mailing Address - Country:US
Mailing Address - Phone:609-298-8309
Mailing Address - Fax:609-298-7002
Practice Address - Street 1:806 FARNSWORTH AVENUE
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505
Practice Address - Country:US
Practice Address - Phone:609-298-8309
Practice Address - Fax:609-298-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI17331122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty