Provider Demographics
NPI:1437026739
Name:LINDSEY ATIYEH DDS PLLC 1
Entity type:Organization
Organization Name:LINDSEY ATIYEH DDS PLLC 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ATIYEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-392-8500
Mailing Address - Street 1:558 E BROOKLYN VILLAGE AVE APT 319
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-3437
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:229 MEDICAL PARK RD STE 220
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8544
Practice Address - Country:US
Practice Address - Phone:704-663-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-21
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental