DR. MARILYN S LYONS (NPI# 1104869809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104869809 |
| Entity Type | Individual |
| Full Name | DR. MARILYN S LYONS |
| Credential | DMD, MMS |
| Practice Address |
77 Gilcreast Road #2000 Londonderry NH 03053 |
| Mailing Address |
77 Gilcreast Road, #2000 Londonderry NH 03053 |
| Practice Telephone | 6034252307 |
| Practice Fax Number | 6034378190 |
| Mailing Telephone | 6034252307 |
| Mailing Fax Number | 6034378190 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2015-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
13970 | MA | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
1844 | NH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BC/BS OF MA PROVIDER # | X12135 | 01 |
| NH | BC/BS OF MA PROVIDER # | X12134 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588632277 | Marilyn F Lyons | Physical Therapist | 1450 E Prater Way, Suite 103, Sparks, NV 89434 | 2006-03-09 |
| Street Address |
77 GILCREAST ROAD #2000 |
| City | LONDONDERRY |
| State | NH |
| Zip Code | 03053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142380 | Convenientmd LLC | Clinic/Center | 42 Nashua Road, Londonderry, NH 03053 | 2020-10-21 |
| 1053893867 | Orthotics In Motion LLC | Prosthetic/Orthotic Supplier | 136 Harvey Rd, Suite A105, Londonderry, NH 03053 | 2018-08-29 |
| 1093260754 | Mary Dube | Counselor | 50 Nashua Rd., Suite 205, Londonderry, NH 03053 | 2016-08-23 |
| 1619325990 | Darin Gray | Physician Assistant | 75 Gilcrest Road, Unit 100, Londonderry, NH 03053 | 2016-05-27 |
| 1427427574 | Valerie Jean Mazzola | Social Worker | 3 Nutfield Drive, Londonderry, NH 03053 | 2015-09-18 |
| 1609244789 | Bresnahan & Ball Counseling Services | Counselor | 1 B Commons Drive Suite 7, Londonderry, NH 03053 | 2015-09-08 |
| 1780068098 | Paul Timothy Hellings | Orthotist | 136 Harvey Rd Ste A105, Londonderry, NH 03053 | 2015-07-16 |
| 1962805960 | Liani Perez | Social Worker | 5 Picadilly Circle, Londonderry, NH 03053 | 2014-10-03 |
| 1871921007 | Debra Ann Champa | Physical Therapy Assistant | 1 Cardinal Circle, Londonderry, NH 03053 | 2013-10-25 |
| 1649523655 | Granite Strategic Transportation | Private Vehicle | 1 Nashua Road, 26, Londonderry, NH 03053 | 2012-10-16 |
| Find all providers in zip 03053 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326540253 | One Commons Endodontics Pllc | Dentist | 1f Commons Dr Unit 39, Londonderry, NH 03053-3474 | 2018-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724832 | Seifelnasr Endodontics | Dentist | 76 Northeastern Blvd Ste 29b, Nashua, NH 03062-3185 | 2019-11-12 |
| 1952780405 | Stephanie Slate | Dentist | 158c Route 108, Somersworth, NH 03878 | 2015-05-29 |
| 1548524671 | Ashley Rose Leavell | Dentist | 342 Winchester St, Keene, NH 03431-3936 | 2012-07-03 |
| 1841457546 | Hudson Endodontics, P.C. | Dentist | 182 Central Street, Hudson, NH 03054 | 2008-05-20 |
| 1093921546 | Andrew Charles George | Dentist | 401 Riverway Pl, Bedford, NH 03110-6765 | 2007-05-14 |
| 1497807911 | Marc H Levey | Dentist | 6 Loudon Rd Ste 6, Concord, NH 03301-5321 | 2007-01-17 |
| 1821196015 | Carolyn Margaret Evelyn Shreck | Dentist | 37 Epping Street, Raymond, NH 03077 | 2006-09-20 |
| 1346344686 | Marion C Wachnicki | Dentist | 3519 White Mountain Highway, North Conway, NH 03860-0980 | 2006-09-08 |
| 1861594913 | Michael Marshall | Dentist | 765 S Main St Ste 301, Dartmouth Commons, Manchester, NH 03102-5141 | 2006-09-01 |
| 1659484590 | Drs. Manzoli & Russo, PC | Dentist | 55 Court St, Keene, NH 03431-3404 | 2006-08-16 |
| Find all providers with the same taxonomy | ||||
| City | LONDONDERRY |
| Zip Code | 03053 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.