Provider Demographics
NPI:1952961658
Name:LINDNER, HALEY BREANNE (DMD)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:BREANNE
Last Name:LINDNER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 POWER PLANT CIR APT 344
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-4200
Mailing Address - Country:US
Mailing Address - Phone:803-553-2845
Mailing Address - Fax:
Practice Address - Street 1:5923 W FRIENDLY AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-3207
Practice Address - Country:US
Practice Address - Phone:336-632-0744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11439122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist