Provider Demographics
NPI:1881847465
Name:TODOROVICH, LINDSEY KATHRYN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:KATHRYN
Last Name:TODOROVICH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S ALABAMA ST
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2315
Mailing Address - Country:US
Mailing Address - Phone:406-498-6410
Mailing Address - Fax:
Practice Address - Street 1:401 S ALABAMA ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2315
Practice Address - Country:US
Practice Address - Phone:406-498-6410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT23221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice