Provider Demographics
NPI:1326154568
Name:LINDNER, KRISTEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:
Last Name:LINDNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 ALTGELT
Mailing Address - Street 2:P.O. BOX 888
Mailing Address - City:COMFORT
Mailing Address - State:TX
Mailing Address - Zip Code:78013
Mailing Address - Country:US
Mailing Address - Phone:830-995-4881
Mailing Address - Fax:830-995-5495
Practice Address - Street 1:702 ALTGELT ST.
Practice Address - Street 2:
Practice Address - City:COMFORT
Practice Address - State:TX
Practice Address - Zip Code:78013
Practice Address - Country:US
Practice Address - Phone:830-995-4881
Practice Address - Fax:830-995-5495
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148148301Medicaid