Provider Demographics
NPI:1740646652
Name:FLOYD, LINDSEY (DMD, MS)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:FLOYD
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:REINHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:322 SE 192ND AVE
Mailing Address - Street 2:#100
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-9678
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:322 SE 192ND AVE
Practice Address - Street 2:#100
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-9678
Practice Address - Country:US
Practice Address - Phone:360-219-9587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-07
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE606899561223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics