Provider Demographics
NPI:1275985434
Name:FELIEN, LINDSAY (DMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:FELIEN
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 1:1601 E HIGHLAND AVE
Mailing Address - Street 2:APT 1178
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4680
Mailing Address - Country:US
Mailing Address - Phone:651-216-5613
Mailing Address - Fax:
Practice Address - Street 1:5045 W BASELINE RD
Practice Address - Street 2:STE 135
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-7392
Practice Address - Country:US
Practice Address - Phone:602-237-0613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0095291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice