Provider Demographics
NPI:1437261872
Name:PHILLIP LINDSEY DDS PA
Entity Type:Organization
Organization Name:PHILLIP LINDSEY DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:R
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:806-793-3308
Mailing Address - Street 1:4601 50TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414-3513
Mailing Address - Country:US
Mailing Address - Phone:806-793-3308
Mailing Address - Fax:806-793-0585
Practice Address - Street 1:4601 50TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-3513
Practice Address - Country:US
Practice Address - Phone:806-793-3308
Practice Address - Fax:806-793-0585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11830261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental