Provider Demographics
NPI:1679985766
Name:MANNING, LINDSAY HEAD (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:HEAD
Last Name:MANNING
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 1:1655 HILLSBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37355-2111
Mailing Address - Country:US
Mailing Address - Phone:931-728-9791
Mailing Address - Fax:931-728-0699
Practice Address - Street 1:1655 HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-2111
Practice Address - Country:US
Practice Address - Phone:931-728-9791
Practice Address - Fax:931-728-0699
Is Sole Proprietor?:No
Enumeration Date:2014-05-23
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9813122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist