National Provider Identifier

Robert Gordon Lyon, DDS

Robert Gordon Lyon, DDS is listed in the NPPES registry with a primary specialty of Dentist in Elmira, NY and a listed phone number of (607) 733-7214.

NPI 1487712634Elmira, NYDentist

Profile Overview

NPI
1487712634
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
December 04, 2006
Last Updated
July 08, 2007

Practice Location

  • 208 Walnut Street
  • Elmira, NY 14905

Phone: (607) 733-7214

Specialties

  • Dentist (122300000X)
Full Record
NPI
1487712634
Entity Type
Individual
Last Name
Lyon
First Name
Robert
Middle Name
Gordon
Credential
DDS
Provider Other Last Name
Miller
Provider Other First Name
Arthur
Provider Other Middle Name
M
Provider Other Name Suffix Text
Jr.
Provider Other Credential Text
DDS
Provider Other Last Name Type Code
2
Mailing Street Address
208 Walnut Street
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905
Mailing Country
US
Mailing Phone
(607) 733-7214
Mailing Fax
(607) 737-0546
Practice Street Address
208 Walnut Street
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905
Practice Country
US
Practice Phone
(607) 733-7214
Practice Fax
(607) 737-0546
Enumeration Date
December 04, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)