Provider Demographics
NPI:1700076668
Name:STEVEN LINDLEY, DDS, PC
Entity Type:Organization
Organization Name:STEVEN LINDLEY, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAYTON
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-345-2170
Mailing Address - Street 1:7121 CHIMNEY CORS
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-2113
Mailing Address - Country:US
Mailing Address - Phone:512-345-2170
Mailing Address - Fax:512-345-6356
Practice Address - Street 1:7121 CHIMNEY CORS
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-2113
Practice Address - Country:US
Practice Address - Phone:512-345-2170
Practice Address - Fax:512-345-6356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15041122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty