Provider Demographics
NPI:1841468329
Name:DORTCH, LINDSEY LEE (DDS)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:LEE
Last Name:DORTCH
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 1:10276 ARROWHEAD LN
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-6804
Mailing Address - Country:US
Mailing Address - Phone:414-588-9385
Mailing Address - Fax:
Practice Address - Street 1:3626 E HIGHLANDS RANCH PKWY UNIT 107
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-7885
Practice Address - Country:US
Practice Address - Phone:303-471-0841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-18
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO99611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice