Provider Demographics
NPI:1568948321
Name:SANDERS, LINDSEY JEAN (DDS)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:JEAN
Last Name:SANDERS
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 1:7350 LOWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80030-4868
Mailing Address - Country:US
Mailing Address - Phone:303-550-1316
Mailing Address - Fax:
Practice Address - Street 1:7350 LOWELL BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-4868
Practice Address - Country:US
Practice Address - Phone:303-428-6571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00203663122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO00203663OtherSTATE LICENSE