Provider Demographics
NPI:1134503816
Name:DANIHER, LINDSEY (DMD)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:DANIHER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 S WAYNE ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IN
Mailing Address - Zip Code:46793-9472
Mailing Address - Country:US
Mailing Address - Phone:260-837-2138
Mailing Address - Fax:
Practice Address - Street 1:605 S WAYNE ST
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IN
Practice Address - Zip Code:46793-9472
Practice Address - Country:US
Practice Address - Phone:260-837-2138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0245341223G0001X
IN12013726A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice