Provider Demographics
NPI:1457511537
Name:MCELLIGOTT, LINDSEY (DMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:MCELLIGOTT
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 1:550 WORCESTER RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5305
Mailing Address - Country:US
Mailing Address - Phone:508-620-6622
Mailing Address - Fax:508-620-5680
Practice Address - Street 1:550 WORCESTER RD
Practice Address - Street 2:SUITE 1
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5305
Practice Address - Country:US
Practice Address - Phone:508-620-6622
Practice Address - Fax:508-620-5680
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA221561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice