Provider Demographics
NPI:1225110505
Name:LINDSEY, JONATHAN ASHLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:ASHLEY
Last Name:LINDSEY
Suffix:
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:PO BOX 786
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657
Mailing Address - Country:US
Mailing Address - Phone:828-733-4074
Mailing Address - Fax:828-733-2155
Practice Address - Street 1:1632 MILLERS GAP HWY
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657
Practice Address - Country:US
Practice Address - Phone:828-733-2042
Practice Address - Fax:828-733-2155
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5362122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0181179OtherBCBS
NC8995296Medicaid
NC125069OtherCIGNA
NC95296OtherBCBS
NC95296OtherBCBS
NC95296OtherBCBS