Provider Demographics
NPI:1114260890
Name:LINDSEY DENTISTRY PLLC
Entity Type:Organization
Organization Name:LINDSEY DENTISTRY PLLC
Other - Org Name:LINDSEY A. VISNIC D.D.S.
Other - Org Type:Other Name
Authorized Official - Title/Position:GENERAL DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:724-663-7735
Mailing Address - Street 1:261 MAIN ST
Mailing Address - Street 2:PO BOX H
Mailing Address - City:CLAYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15323-2398
Mailing Address - Country:US
Mailing Address - Phone:724-663-7735
Mailing Address - Fax:724-663-7735
Practice Address - Street 1:261 MAIN ST
Practice Address - Street 2:PO BOX H
Practice Address - City:CLAYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15323-2398
Practice Address - Country:US
Practice Address - Phone:724-663-7735
Practice Address - Fax:724-663-7735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-01
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0388331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty