Provider Demographics
NPI:1861641011
Name:YATES, LINDSEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:YATES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:KRECKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7070 W VIRGINIA AVE
Mailing Address - Street 2:UNIT C208
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3146
Mailing Address - Country:US
Mailing Address - Phone:516-433-9166
Mailing Address - Fax:
Practice Address - Street 1:550 THORNTON PKWY
Practice Address - Street 2:STE 240A
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2100
Practice Address - Country:US
Practice Address - Phone:303-280-8878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.027778122300000X
CO00202747122300000X
NY0547631122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist