Provider Demographics
NPI:1891833141
Name:LINDSAY, IROD J (DDS)
Entity Type:Individual
Prefix:DR
First Name:IROD
Middle Name:J
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 1:256 ASHMONT ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-3804
Mailing Address - Country:US
Mailing Address - Phone:617-282-0220
Mailing Address - Fax:617-265-9158
Practice Address - Street 1:256 ASHMONT ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02124-3804
Practice Address - Country:US
Practice Address - Phone:617-282-0220
Practice Address - Fax:617-265-9158
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA113041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice