Provider Demographics
NPI:1326205279
Name:THOMAS, LYNNE D (DDS)
Entity type:Individual
Prefix:DR
First Name:LYNNE
Middle Name:D
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15717 BERNARDO HEIGHTS PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-3155
Mailing Address - Country:US
Mailing Address - Phone:858-451-3110
Mailing Address - Fax:858-451-7916
Practice Address - Street 1:15717 BERNARDO HEIGHTS PKWY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-3155
Practice Address - Country:US
Practice Address - Phone:858-451-3110
Practice Address - Fax:858-451-7916
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50872122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist