Provider Demographics
NPI:1326370156
Name:ECKERT, LINDSAY ANN (DDS)
Entity Type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:ANN
Last Name:ECKERT
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 1:2902 STATE ST APT 9
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2754
Mailing Address - Country:US
Mailing Address - Phone:972-523-5636
Mailing Address - Fax:
Practice Address - Street 1:2902 STATE ST APT 9
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-2754
Practice Address - Country:US
Practice Address - Phone:972-523-5636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX233261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice