Provider Demographics
NPI:1386206811
Name:JANOF, LINDSEY (DMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:JANOF
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 1:1661 WASHINGTON ST APT 103
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-3378
Mailing Address - Country:US
Mailing Address - Phone:203-814-4919
Mailing Address - Fax:
Practice Address - Street 1:1661 WASHINGTON ST APT 103
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-3378
Practice Address - Country:US
Practice Address - Phone:203-814-4919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-04
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1858461122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist