Provider Demographics
NPI:1467697888
Name:WESSNER, LINDSAY DYAN (DDS)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:DYAN
Last Name:WESSNER
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 1:3 DOVER LN
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-3349
Mailing Address - Country:US
Mailing Address - Phone:609-221-9761
Mailing Address - Fax:
Practice Address - Street 1:63 KRESSON RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3200
Practice Address - Country:US
Practice Address - Phone:856-857-0400
Practice Address - Fax:856-216-0779
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD143891223G0001X
NJ26306001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice