Provider Demographics
NPI:1841417466
Name:LINDSAY, LARRY HUGHES (DDS)
Entity Type:Individual
Prefix:
First Name:LARRY
Middle Name:HUGHES
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 N MOPAC
Mailing Address - Street 2:BLDG II, STE 2103
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-8666
Mailing Address - Country:US
Mailing Address - Phone:512-346-3427
Mailing Address - Fax:512-346-0317
Practice Address - Street 1:6500 N MOPAC
Practice Address - Street 2:BLDG II, STE 2103
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-8666
Practice Address - Country:US
Practice Address - Phone:512-346-3427
Practice Address - Fax:512-346-0317
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13478122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist