Provider Demographics
NPI:1114187176
Name:LINDEMANN, LINDSAY MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:MARIE
Last Name:LINDEMANN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:MARIE
Other - Last Name:PHILP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:6221 W PIERSON RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-2338
Mailing Address - Country:US
Mailing Address - Phone:810-733-2700
Mailing Address - Fax:
Practice Address - Street 1:6221 W PIERSON RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:MI
Practice Address - Zip Code:48433-2338
Practice Address - Country:US
Practice Address - Phone:810-733-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019824122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist