MEDICARE: LINDSAY DENTAL GROUP, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	30167	TX
2	122300000X	Dentist	12209	TX

General Provider Information

NPI Number	:	1396118220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDSAY DENTAL GROUP, PLLC

Provider Business Mailing Address
First Line	:	22331 GOSLING RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389
Country	:	US
Telephone Number	:	832-813-8820
Fax Number	:	832-813-8241

Provider Business Practice Location Address
First Line	:	22331 GOSLING RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-4409
Country	:	US
Telephone Number	:	832-813-8820
Fax Number	:	832-813-8241

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL E LINDSAY
Credential	:	DDS
Telephone Number	:	832-813-8820

Provider Enumeration Date	:	10/30/2015
Last Update Date	:	10/30/2015

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