Provider Demographics
NPI:1487950135
Name:ESSENMACHER, LYNN MICHELLE (RDH, BS)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:MICHELLE
Last Name:ESSENMACHER
Suffix:
Gender:F
Credentials:RDH, BS
Other - Prefix:MISS
Other - First Name:LYNN
Other - Middle Name:MICHELLE
Other - Last Name:ARMATIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH, BS
Mailing Address - Street 1:1600 PINETREE DR
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1754
Mailing Address - Country:US
Mailing Address - Phone:734-330-1562
Mailing Address - Fax:
Practice Address - Street 1:1600 PINETREE DR
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-1754
Practice Address - Country:US
Practice Address - Phone:734-330-1562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2902013865124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist