Provider Demographics
NPI:1730298548
Name:LINDSEY, JR., EDWARD M (DMD, DABSCD, FAAHD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:M
Last Name:LINDSEY, JR.
Suffix:
Gender:M
Credentials:DMD, DABSCD, FAAHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-4223
Mailing Address - Country:US
Mailing Address - Phone:256-547-2844
Mailing Address - Fax:256-547-2846
Practice Address - Street 1:313 S 5TH ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-4223
Practice Address - Country:US
Practice Address - Phone:256-547-2844
Practice Address - Fax:256-547-2846
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALCS-42381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice