Provider Demographics
NPI:1326024381
Name:LINDLEY, TODD P (DDS)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:P
Last Name:LINDLEY
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 1:9553 LACKLAND RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:OVERLAND
Mailing Address - State:MO
Mailing Address - Zip Code:63114-3640
Mailing Address - Country:US
Mailing Address - Phone:314-428-7729
Mailing Address - Fax:
Practice Address - Street 1:9553 LACKLAND RD
Practice Address - Street 2:SUITE 4
Practice Address - City:OVERLAND
Practice Address - State:MO
Practice Address - Zip Code:63114-3640
Practice Address - Country:US
Practice Address - Phone:314-428-7729
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO152601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice