Provider Demographics
NPI:1720760325
Name:LYBARGER, LINDSAY (DDS)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:LYBARGER
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 1:2512 THORNTON GROVE BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2223
Mailing Address - Country:US
Mailing Address - Phone:574-268-8982
Mailing Address - Fax:
Practice Address - Street 1:3402 CAINLO DR STE 100
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-0863
Practice Address - Country:US
Practice Address - Phone:931-920-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN122881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice