Provider Demographics
NPI:1659684827
Name:LINDSEY, BRANDI MICHELLE (DDS)
Entity type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:MICHELLE
Last Name:LINDSEY
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 1:4340 MCCULLOUGH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-1909
Mailing Address - Country:US
Mailing Address - Phone:210-822-8866
Mailing Address - Fax:108-221-0442
Practice Address - Street 1:4340 MCCULLOUGH AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-1909
Practice Address - Country:US
Practice Address - Phone:210-822-8866
Practice Address - Fax:210-822-1044
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 19092122300000X
TX259631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist