Provider Demographics
NPI:1891192001
Name:RUSHTON, LINDSEY RENEE (RDH)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RENEE
Last Name:RUSHTON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:HAGERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:3701 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3611
Mailing Address - Country:US
Mailing Address - Phone:303-360-6276
Mailing Address - Fax:303-467-5355
Practice Address - Street 1:11005 RALSTON RD
Practice Address - Street 2:STE. 210
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4551
Practice Address - Country:US
Practice Address - Phone:303-761-1977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-03
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH.002024010124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO62386832Medicaid