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NPI Code Detail

MEDICARE: JEFF LYNCH

MEDICARE:   JEFF  LYNCH
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
11223G0001XGeneral Practice Dentistry20135TX
2122300000XDentist20135TX

General Provider Information

NPI Number : 1427272186
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFF LYNCH
Provider Business Mailing Address
First Line : 1716 W VIRGINIA ST
Second Line :
City : MCKINNEY
State : TX
Zip : 75069-7864
Country : US
Telephone Number : 972-542-0146
Fax Number :
Provider Business Practice Location Address
First Line : 1716 W VIRGINIA ST
Second Line :
City : MCKINNEY
State : TX
Zip : 75069-7864
Country : US
Telephone Number : 972-542-0146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 03/24/2022

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Directions to “ JEFF LYNCH ” Practice Location

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