Provider Demographics
NPI:1447263868
Name:LYNCH, JANE PATRICIA
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:PATRICIA
Last Name:LYNCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9403 KENWOOD RD STE D102
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-6885
Mailing Address - Country:US
Mailing Address - Phone:513-891-4799
Mailing Address - Fax:513-891-4899
Practice Address - Street 1:9403 KENWOOD RD STE D102
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-6885
Practice Address - Country:US
Practice Address - Phone:513-891-4799
Practice Address - Fax:513-891-4899
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16090122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist