# JOHN W LYNN DDS LTD

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

## Provider details

- **NPI number:** 1952573297
- **Authorized official:** JOHN WORTH LYNN DDS (PRESIDENT OWNER)
- **Authorized official phone:** (804) 432-0056

## Contact information

- **Practice address:** 104 MORTON AVENUE, PETERSBURG, VA 23805
- **Practice address phone:** (804) 732-0056
- **Practice address fax:** (804) 732-1420
- **Mailing address:** 104 MORTON AVENUE, PETERSBURG, VA 23805
- **Mailing address phone:** (804) 732-0056
- **Mailing address fax:** (804) 732-1420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401002896 | VA | Yes |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 03/27/2008