Page, Lyn

Page, Lyn is an individual health care provider with primary practice located at 1001 N Country Club Rd , Ada OK 74820-2847. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Page, Lyn can be contacted via phone (580) 421-4570.

Contact Information

Primary practice address
1001 N Country Club Rd Ada OK 74820-2847
Phone: (580) 421-4570
Fax: (580) 421-4595
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5209 Oklahoma

Profile Details

NPI number 1770788408
LBN Legal business name Page, Lyn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated May 16th, 2008 - about 16 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 1770788408 NPPES
Oklahoma MEDICAID 1305209

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