Provider Demographics
NPI:1033127618
Name:LINDSEY, PHILLIP R SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:R
Last Name:LINDSEY
Suffix:SR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 50TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414-3513
Mailing Address - Country:US
Mailing Address - Phone:806-793-3308
Mailing Address - Fax:806-793-0585
Practice Address - Street 1:4601 50TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-3513
Practice Address - Country:US
Practice Address - Phone:806-793-3308
Practice Address - Fax:806-793-0585
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice