Provider Demographics
NPI:1275576142
Name:LINDMAN, MIKAL V (DDS)
Entity Type:Individual
Prefix:
First Name:MIKAL
Middle Name:V
Last Name:LINDMAN
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 1:934 S LEMAY AVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3207
Mailing Address - Country:US
Mailing Address - Phone:970-498-8300
Mailing Address - Fax:970-498-8333
Practice Address - Street 1:934 S LEMAY AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3207
Practice Address - Country:US
Practice Address - Phone:970-498-8300
Practice Address - Fax:970-498-8333
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9147122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist