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General NPI Number Information
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NPI Number | 1457485120
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Entity Type | Organization
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Legal Business Name | RONALD D. LYNCH, D.D.S., P.C.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 369 JOHNSTOWN RD
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City | CHESAPEAKE
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State | VA
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Zip | 23322-5309
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Country | US
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Telephone | 757-546-0301
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Fax | 757-546-0311
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Provider Business Mailing Address
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Address Line | 369 JOHNSTOWN RD
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City | CHESAPEAKE
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State | VA
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Zip | 23322-5309
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Country | US
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Telephone | 757-546-0301
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Fax | 757-546-0311
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD D. LYNCH
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Credential | D.D.S
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Telephone | 757-546-0301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | VA
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