Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1134246366 Deactivated / Inactive NPI Male Practitioner

Dr. Theodore R Lynch , DDS

Dentist - Pediatric Dentistry • Sisters, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Theodore Lynch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 23, 2007
NPI Deactivation Date June 20, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Lynch, DDS was a registered Dentist - Pediatric Dentistry practicing in Sisters, OR. Throughout an active medical career spanning 15 years, Dr. Lynch provided care at the practice location at 354 W ADAMS until profile deactivation on 2022-06-20.

Practice Location & Contact Primary Location

Practice Address

354 W Adams

Sisters, OR 97759

Telephone 8884680022
Fax 5415043907
Associated Practice Facility / Clinic
🏢 Gary Dehm, Dmd Facility NPI 1548434608

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Sisters, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Sisters, OR (180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License OR D6361

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Shaunna Jennings , RDH

Dental Hygienist

NPI 1023408481

Registered Dental Hygienist

NPI 1043216567

Doctor of Dental Surgery

NPI 1043690878

Registered Dental Hygienist, EPDH

NPI 1053815126

Registered Dental Hygienist, EPP

Rosalyce Rose , RDH

Dental Hygienist

NPI 1083029078

Registered Dental Hygienist

Erika Evans , RDH

Dental Hygienist

NPI 1083053268

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 20, 2022

Record deactivated on June 20, 2022

NPI Profile Active December 14, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 14, 2011

Registered at 354 W ADAMS, SISTERS, OR 97759 (Tel: 8884680022)

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Updated Business Mailing Address December 14, 2011

Registered at 442 SW UMATILLA AVE STE 200, THEODORE R LYNCH DDS, REDMOND, OR 977567039 (Tel: 8884680022)

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Provider Name / Credentials Updated December 14, 2011

Recorded as THEODORE LYNCH, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2011

Dentist (License #D6361 in OR)

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Initial NPI Registration & Enumeration March 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134246366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2007
Last Update: December 14, 2011
Deactivation Date: June 20, 2022

Mailing Address

442 Sw Umatilla Ave Ste 200, Theodore R Lynch Dds

Redmond, OR 977567039

Phone: 8884680022

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.