Provider Demographics
NPI:1790148443
Name:TORY R. LINDH, D.M.D., P.A.
Entity Type:Organization
Organization Name:TORY R. LINDH, D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TORY
Authorized Official - Middle Name:R
Authorized Official - Last Name:LINDH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-581-0100
Mailing Address - Street 1:7500 NW 5TH STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317
Mailing Address - Country:US
Mailing Address - Phone:954-581-0100
Mailing Address - Fax:954-581-4241
Practice Address - Street 1:7500 NW 5TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1612
Practice Address - Country:US
Practice Address - Phone:954-581-0100
Practice Address - Fax:954-581-4241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14461332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies