Provider Demographics
NPI:1194429621
Name:WHIPPLE, LINDSAY DAWN (RDH)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:DAWN
Last Name:WHIPPLE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 N PEACH ST
Mailing Address - Street 2:
Mailing Address - City:SANTAQUIN
Mailing Address - State:UT
Mailing Address - Zip Code:84655-8271
Mailing Address - Country:US
Mailing Address - Phone:801-310-3026
Mailing Address - Fax:
Practice Address - Street 1:337 N PEACH ST
Practice Address - Street 2:
Practice Address - City:SANTAQUIN
Practice Address - State:UT
Practice Address - Zip Code:84655-8271
Practice Address - Country:US
Practice Address - Phone:801-310-3026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12298769-9920124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist