Provider Demographics
NPI:1689866600
Name:VOSSEN, LINDSEY (DDS)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:VOSSEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1759 17TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-3372
Mailing Address - Country:US
Mailing Address - Phone:952-496-2385
Mailing Address - Fax:952-496-2393
Practice Address - Street 1:1759 17TH AVE E
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-3372
Practice Address - Country:US
Practice Address - Phone:952-496-2385
Practice Address - Fax:952-496-2393
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND124391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice