Provider Demographics
NPI:1255762316
Name:WALSH, LINDSEY RENEE (DDS)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:RENEE
Last Name:WALSH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LINDSEY
Other - Middle Name:RENEE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:8335 WALNUT HILL LN STE 105
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4264
Mailing Address - Country:US
Mailing Address - Phone:214-368-0018
Mailing Address - Fax:
Practice Address - Street 1:8335 WALNUT HILL LN STE 105
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4264
Practice Address - Country:US
Practice Address - Phone:214-368-0018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-27
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX289231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice