Provider Demographics
NPI:1689922106
Name:POSNER, LINDSAY SHANE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:SHANE
Last Name:POSNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:POSNER
Other - Last Name:NEWBERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5114 26TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3102
Mailing Address - Country:US
Mailing Address - Phone:206-755-7708
Mailing Address - Fax:
Practice Address - Street 1:3229 HOYT AVE STE B
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-6404
Practice Address - Country:US
Practice Address - Phone:425-320-4281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA107651223E0200X
CA519901223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics