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General NPI Number Information
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NPI Number | 1780483347
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Entity Type | Individual
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Provider Name | MICHAEL LYNCH DMD, PHD
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Gender | Male
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 3435 MAIN ST
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City | BUFFALO
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State | NY
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Zip | 14214-3001
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Country | US
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Telephone | 716-829-2824
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Fax |
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Provider Business Mailing Address
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Address Line | 1227 NARRUMSON RD
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City | MANASQUAN
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State | NJ
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Zip | 08736-2026
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Country | US
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Telephone | 908-433-6423
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 047137
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License Number State | NY
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