Provider Demographics
NPI:1275820532
Name:GEORGE, LINDSEY ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:ANN
Last Name:GEORGE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:ANN
Other - Last Name:VISNIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:257 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:304-559-6115
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
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3949122300000X
PADS038833122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist