Provider Demographics
NPI:1497970503
Name:DEAN, LINDSAY M (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:M
Last Name:DEAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:M
Other - Last Name:EVANOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1374 REIMER RD
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-8164
Mailing Address - Country:US
Mailing Address - Phone:330-335-2525
Mailing Address - Fax:330-336-1700
Practice Address - Street 1:1374 REIMER RD
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-8164
Practice Address - Country:US
Practice Address - Phone:330-335-2525
Practice Address - Fax:330-336-1700
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-02-15881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice