Provider Demographics
NPI:1508946658
Name:NAIPAUL, LYNDON (DDS)
Entity Type:Individual
Prefix:
First Name:LYNDON
Middle Name:
Last Name:NAIPAUL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1776 OLD SPRING HOUSE LN
Mailing Address - Street 2:SUITE 302
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6225
Mailing Address - Country:US
Mailing Address - Phone:770-936-0113
Mailing Address - Fax:770-936-0122
Practice Address - Street 1:1776 OLD SPRING HOUSE LN
Practice Address - Street 2:SUITE 302
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6225
Practice Address - Country:US
Practice Address - Phone:770-936-0113
Practice Address - Fax:770-936-0122
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002005473122300000X
GADN0135921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist