Provider Demographics
NPI:1982724738
Name:LYNCH DENTAL CENTER
Entity Type:Organization
Organization Name:LYNCH DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.D.S
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:E
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-366-6411
Mailing Address - Street 1:55 E WASHINGTON ST
Mailing Address - Street 2:SUITE 2806
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-2103
Mailing Address - Country:US
Mailing Address - Phone:312-263-3235
Mailing Address - Fax:312-263-2166
Practice Address - Street 1:55 E WASHINGTON ST
Practice Address - Street 2:SUITE 2806
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-2103
Practice Address - Country:US
Practice Address - Phone:312-263-3235
Practice Address - Fax:312-263-2166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty