Provider Demographics
NPI:1780720615
Name:CHINCHECK, LYNN RENEE (DDS)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:RENEE
Last Name:CHINCHECK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 RUFFED GROUSE CT
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-1669
Mailing Address - Country:US
Mailing Address - Phone:410-337-2874
Mailing Address - Fax:
Practice Address - Street 1:9475 DEERECO RD
Practice Address - Street 2:SUITE 402
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2118
Practice Address - Country:US
Practice Address - Phone:410-561-8845
Practice Address - Fax:410-561-2034
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD90971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice