Agatha Jerry Lynn is a Dentist in Charleston, South Carolina. Agatha Jerry Lynn practices all healthcare services and medical treatments related to Dentist. The NPI Number for Agatha Jerry Lynn is 1023217395. The last update date is 2009-07-29.
Agatha Jerry Lynn's current location address is 811 Saint Andrews Blvd, Charleston, South Carolina. You can contact this provider via phone number 8435717951 and fax number 8435717952. The mailing address for Agatha Jerry Lynn is 811 Saint Andrews Blvd, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Agatha Jerry Lynn |
|---|---|
| Address | 811 Saint Andrews Blvd, Charleston, South Carolina |
| Phone Number | 8435717951 |
| Fax Number | 8435717952 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1023217395 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2009-07-29 |
Provider Mailing Address Detail
| Address | 811 Saint Andrews Blvd |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 294077187 |
| Phone Number | 8435717951 |
| Fax Number | 8435717952 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4332 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique identifier code issued to Agatha Jerry Lynn by the Centers for Medicare & Medicaid Services (CMS)?
The Agatha Jerry Lynn has been assigned the NPI (National Provider Identifier) 1023217395. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Agatha Jerry Lynn is geographically located?
The Agatha Jerry Lynn is physically situated at the following location: 811 Saint Andrews Blvd, Charleston, SC, 294077187.
What is the Agatha Jerry Lynn's area of specialization and corresponding taxonomy classification?
The Agatha Jerry Lynn's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did Agatha Jerry Lynn receive its 1023217395 assignment from the Centers for Medicare & Medicaid Services?
The Agatha Jerry Lynn was assigned its 1023217395 on 2007-07-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Agatha Jerry Lynn, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Agatha Jerry Lynn, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-07-29.
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