Provider Demographics
NPI:1609256106
Name:JAROS, LINDSEY (DMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:JAROS
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 1:3707 MANCHACA RD
Mailing Address - Street 2:APT 266
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-6793
Mailing Address - Country:US
Mailing Address - Phone:440-221-7726
Mailing Address - Fax:
Practice Address - Street 1:1906 S COLORADO ST STE 110
Practice Address - Street 2:
Practice Address - City:LOCKHART
Practice Address - State:TX
Practice Address - Zip Code:78644-3906
Practice Address - Country:US
Practice Address - Phone:512-398-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-01
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32465122300000X
OH30.024502122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist