Provider Demographics
NPI:1992874457
Name:SMART, LYNDI (DDS)
Entity type:Individual
Prefix:DR
First Name:LYNDI
Middle Name:
Last Name:SMART
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 1:3234 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79603-4738
Mailing Address - Country:US
Mailing Address - Phone:325-677-2778
Mailing Address - Fax:325-673-0703
Practice Address - Street 1:3234 N 10TH ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79603-4738
Practice Address - Country:US
Practice Address - Phone:325-677-2778
Practice Address - Fax:325-673-0703
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX220411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX202057OtherANTHEM BCBS PROVIDER NUMB
TX1671996OtherUNITED CONCORDIA ID NUMBE