Provider Demographics
NPI:1326203696
Name:LYON, STEPHEN M (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:M
Last Name:LYON
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:3435 MAIN STREET
Mailing Address - Street 2:SQUIRE HALL 240
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-6867
Mailing Address - Country:US
Mailing Address - Phone:716-829-3602
Mailing Address - Fax:716-829-3501
Practice Address - Street 1:3435 MAIN STREET
Practice Address - Street 2:SQUIRE HALL 240
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-6867
Practice Address - Country:US
Practice Address - Phone:716-829-3602
Practice Address - Fax:716-829-3501
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-25
Last Update Date:2025-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT18711223E0200X
NY0645871223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics