Provider Demographics
NPI:1346395993
Name:LINDSEY, SHILOH D (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHILOH
Middle Name:D
Last Name:LINDSEY
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 1:1017 LUKE ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-4015
Mailing Address - Country:US
Mailing Address - Phone:970-482-3166
Mailing Address - Fax:970-482-4281
Practice Address - Street 1:1017 LUKE ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-4015
Practice Address - Country:US
Practice Address - Phone:970-482-3166
Practice Address - Fax:970-482-4281
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO81171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice