Organization
LYNN HYLAND DDS PCS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN CLAIR HYLAND DDS (OWNER)
(269) 382-0482
Entity
Organization
Contact information
Practice address
1900 WHITES RD, KALAMAZOO, MI 49008-2872
(269) 382-0482
(269) 382-2906
Mailing address
1900 WHITES RD, KALAMAZOO, MI 49008-2872
(269) 382-0482
(269) 382-2906
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901017013
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1701300
BLUE CROSS/BLUE SHIELD
MI
05
—
3289781
—
MI
01
—
9753961130
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
10/11/2007
Last updated
11/05/2007
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