Provider Demographics
NPI:1124129606
Name:LYNN, ANNE CATHERINE (DDS)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:CATHERINE
Last Name:LYNN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12829 JEFFERSON AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608
Mailing Address - Country:US
Mailing Address - Phone:757-875-1132
Mailing Address - Fax:757-875-1132
Practice Address - Street 1:12829 JEFFERSON AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608
Practice Address - Country:US
Practice Address - Phone:757-875-1132
Practice Address - Fax:757-875-1132
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2013-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA006548122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist