Lyons, James C

Lyons, James C is an sole proprietor health care provider with primary practice located at 1876 Radius Dr , Hollywood FL 33020-7701. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Lyons, James C can be contacted via phone (954) 364-7626.

Contact Information

Primary practice address
1876 Radius Dr Hollywood FL 33020-7701
Phone: (954) 364-7626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 019022444 Illinois
Dental Providers / Periodontics 1223P0300X DN17884 Florida
Dental Providers / General Practice 1223G0001X DN17884 Florida

Profile Details

NPI number 1851341853
LBN Legal business name Lyons, James C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Nov 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851341853 NPPES
Florida MEDICAID 000574500

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