# LYNN R,, CHENEY, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730148248
- **Authorized official:** DR. LYNN R CHENEY DDS (OWNER)
- **Authorized official phone:** (360) 794-5788

## Contact information

- **Practice address:** 1221 W MAIN ST, MONROE, WA 98272-2028
- **Practice address phone:** (360) 794-5788
- **Practice address fax:** (360) 863-0318
- **Mailing address:** 1221 W MAIN ST, MONROE, WA 98272-2028
- **Mailing address phone:** (360) 794-5788
- **Mailing address fax:** (360) 863-0318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00008524 | WA | Yes |

## Other

- **Enumeration date:** 03/22/2006
- **Last updated:** 10/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5032297 | — | WA |