Provider Demographics
NPI:1902090517
Name:MICHELLE R. LINDSAY, DDS, PA
Entity type:Organization
Organization Name:MICHELLE R. LINDSAY, DDS, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-261-3100
Mailing Address - Street 1:478 LINCOLN SQ
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-4893
Mailing Address - Country:US
Mailing Address - Phone:817-261-3100
Mailing Address - Fax:817-303-3715
Practice Address - Street 1:478 LINCOLN SQ
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-4893
Practice Address - Country:US
Practice Address - Phone:817-261-3100
Practice Address - Fax:817-303-3715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX167211223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty