Provider Demographics
NPI:1942693403
Name:ROW, LINDSAY (DMD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:ROW
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 N TOWN CENTER DR STE 606
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-0520
Mailing Address - Country:US
Mailing Address - Phone:702-277-1039
Mailing Address - Fax:
Practice Address - Street 1:653 N TOWN CENTER DR STE 606
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-0520
Practice Address - Country:US
Practice Address - Phone:702-838-9013
Practice Address - Fax:702-838-9157
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS6-1521223P0221X
NV68731223P0221X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty