| D. Brock Lynn, Dds, Ms | |
|
6190 Lbj Fwy Ste 900 Dallas TX 75240-6348 | |
| (972) 934-1477 | |
| (972) 934-0195 |
| Full Name | D. Brock Lynn, Dds, Ms |
|---|---|
| Speciality | Dentist |
| Location | 6190 Lbj Fwy Ste 900, Dallas, Texas |
| Authorized Official Name and Position | D. Brock Lynn (OWNER) |
| Authorized Official Contact | 9729341477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| D. Brock Lynn, Dds, Ms 6190 Lbj Fwy Ste 900 Dallas TX 75240-6348 Ph: (972) 934-1477 | D. Brock Lynn, Dds, Ms 6190 Lbj Fwy Ste 900 Dallas TX 75240-6348 Ph: (972) 934-1477 |
| NPI Number | 1942668769 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 09/28/2016 |
| Medicare PECOS PAC ID | 3678868668 |
|---|---|
| Medicare Enrollment ID | O20160830002102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942668769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12590 (Texas) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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