Provider Demographics
NPI:1619224599
Name:LINDSKOG, HANNA ELIZABETH (DDS)
Entity Type:Individual
Prefix:
First Name:HANNA
Middle Name:ELIZABETH
Last Name:LINDSKOG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:HANNA
Other - Middle Name:LINDSKOG
Other - Last Name:CONKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:9850C EMMETT F LOWRY EXPY STE C-103
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-2122
Mailing Address - Country:US
Mailing Address - Phone:409-938-2234
Mailing Address - Fax:409-938-2200
Practice Address - Street 1:9850C EMMETT F LOWRY EXPY STE C-103
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591
Practice Address - Country:US
Practice Address - Phone:409-938-2234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28828122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist