Provider Demographics
NPI:1255561635
Name:JODON, LINDSAY (DMD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:JODON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1009 BEAVER GRADE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108
Mailing Address - Country:US
Mailing Address - Phone:412-264-6229
Mailing Address - Fax:
Practice Address - Street 1:500 BELCHER RD S APT 192
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-5519
Practice Address - Country:US
Practice Address - Phone:412-708-1697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-21
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037915122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist