Provider Demographics
NPI:1225250848
Name:DAVID L LINDOW DDS PC
Entity Type:Organization
Organization Name:DAVID L LINDOW DDS PC
Other - Org Name:HOMETOWN DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LINDOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:727-867-4061
Mailing Address - Street 1:606 N MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:MI
Mailing Address - Zip Code:49021
Mailing Address - Country:US
Mailing Address - Phone:269-763-9404
Mailing Address - Fax:269-763-0156
Practice Address - Street 1:606 N MAIN STREET
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:MI
Practice Address - Zip Code:49021
Practice Address - Country:US
Practice Address - Phone:269-763-9404
Practice Address - Fax:269-763-0156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental