MEDICARE: DR. TODD ANDREW LINCOLN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5498	NE

General Provider Information

NPI Number	:	1326025982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD ANDREW LINCOLN DDS

Provider Business Mailing Address
First Line	:	PSC 80 BOX 16004
Second Line	:
City	:	APO
State	:	AP
Zip	:	96367
Country	:	JP
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 80 BOX 16004
Second Line	:
City	:	APO
State	:	AP
Zip	:	96367
Country	:	JP
Telephone Number	:	6334540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2005
Last Update Date	:	07/21/2022

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