LYNCH FAMILY DENTISTRY, P.C. (NPI# 1962650150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962650150 |
| Entity Type | Organization |
| Organization Name | LYNCH FAMILY DENTISTRY, P.C. |
| Practice Address |
1515 W Walnut St Building 5 Jacksonville IL 62650-1150 |
| Practice Telephone | 2172451211 |
| Practice Fax Number | 2172910401 |
| Mailing Telephone | 2172451211 |
| Mailing Fax Number | 2172910401 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Authorized Official Name | DR. RONALD R LYNCH (PRESIDENT) |
| Authorized Official Telephone | 2172451211 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
19-016290 | IL | Ambulatory Health Care Facilities |
| Street Address |
1515 W WALNUT ST BUILDING 5 |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558333633 | Allen G Gerberding | Family Medicine | 1515 W Walnut St, Jacksonville, IL 62650-1150 | 2006-02-03 |
| 1740777093 | Tamara Breckon | Nurse Practitioner | 1515 W Walnut St, Jacksonville, IL 62650 | 2018-04-21 |
| 1629465414 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 1515 W Walnut St, Suite 12, Jacksonville, IL 62650-1150 | 2015-04-20 |
| 1164848750 | Smile Experts Dental Associates | Exclusive Provider Organization | 1515 W Walnut St, Jacksonville, IL 62650-1150 | 2014-03-06 |
| 1609177005 | Madhusudan Vallala M.d., S.c. | Internal Medicine | 1515 W Walnut St, Jacksonville, IL 62650-1150 | 2010-11-16 |
| 1295068856 | Eldon G. Barrowes | Dentist | 1515 W Walnut St, Bldg. #3, Jacksonville, IL 62650-1150 | 2009-09-15 |
| 1891960753 | Ronald R Lynch Dmd Ltd | Clinic/Center | 1515 W Walnut St, Jacksonville, IL 62650-1150 | 2008-04-22 |
| 1295952422 | Robert A. Krueger, D.d.s., Ltd. | Dentist | 1515 W Walnut St, #8, Jacksonville, IL 62650-1150 | 2007-04-19 |
| 1477677995 | Foot and Ankle Associates of Central Illinois LLC | Durable Medical Equipment & Medical Supplies | 1515 W Walnut St, Suite 12, Jacksonville, IL 62650-1150 | 2007-03-19 |
| 1497883862 | Thomas Michael Loughary | Dentist | 1515 W Walnut St, Building 10, Jacksonville, IL 62650-1150 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1285242941 | Neil K Stevenson Dmd, Pllc | Clinic/Center | 12078 San Jose Blvd Ste 1, Jacksonville, FL 32223-8671 | 2020-07-20 |
| 1699306803 | Gina Collins Mancini, Dmd | Clinic/Center | 3685 Henderson Dr, Jacksonville, NC 28546-5218 | 2020-01-28 |
| 1598305823 | Lenz Dental, Pllc | Clinic/Center | 13050 Gran Bay Pkwy Unit 1445, Jacksonville, FL 32258-4542 | 2020-01-15 |
| 1265070916 | Allcare Dentistry P.a. | Clinic/Center | 11915 Beach Blvd Ste 115, Jacksonville, FL 32246-6707 | 2019-12-12 |
| 1922641083 | Mariam Barikbin, Dmd, Pa | Clinic/Center | 4114 Herschel St Ste 106, Jacksonville, FL 32210-2200 | 2019-10-22 |
| 1821509340 | River Oaks Dental | Clinic/Center | 6120 San Jose Blvd, Jacksonville, FL 32217-2333 | 2017-10-24 |
| 1073024006 | Jacksonville Family Dentistry At Southside, Inc | Clinic/Center | 8101 Southside Blvd Ste 8, Jacksonville, FL 32256-8005 | 2017-10-17 |
| 1083136881 | Samir K. Hanna & Associates, P.a. | Clinic/Center | 5435 Ortega Blvd Ste 1, Jacksonville, FL 32210-8435 | 2017-07-13 |
| 1376964353 | Sorrento Dental | Clinic/Center | 106 Julington Plaza Dr, Suite 6, Jacksonville, FL 32259-6217 | 2013-12-18 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
Please comment or provide details below to improve the information on LYNCH FAMILY DENTISTRY, P.C..
| 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.