Provider Demographics
NPI:1770751653
Name:LINDSEY, MONQIUE YVONNE (DDS)
Entity type:Individual
Prefix:DR
First Name:MONQIUE
Middle Name:YVONNE
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 1:17646 LENORE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-3049
Mailing Address - Country:US
Mailing Address - Phone:313-543-3229
Mailing Address - Fax:
Practice Address - Street 1:28050 FORD RD
Practice Address - Street 2:SUITE D
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-2967
Practice Address - Country:US
Practice Address - Phone:743-838-9780
Practice Address - Fax:734-838-9781
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010174991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice