Provider Demographics
NPI:1790198232
Name:LINDSAY A. SMITH, D.D.S., P.L.L.C.
Entity Type:Organization
Organization Name:LINDSAY A. SMITH, D.D.S., P.L.L.C.
Other - Org Name:LOW FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-742-6321
Mailing Address - Street 1:2538 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-1700
Mailing Address - Country:US
Mailing Address - Phone:918-742-6321
Mailing Address - Fax:918-743-3011
Practice Address - Street 1:2538 E 21ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-1700
Practice Address - Country:US
Practice Address - Phone:918-742-6321
Practice Address - Fax:918-743-3011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental