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NPI Code Detail

MEDICARE: LYNDIA J DAUGHTRY RDH

MEDICARE: LYNDIA J DAUGHTRY RDH
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
1124Q00000XDental HygienistDH6220TN

General Provider Information

NPI Number : 1780549766
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDIA J DAUGHTRY RDH
Provider Business Mailing Address
First Line : 3220 CALLIA LN APT 211
Second Line :
City : MELBOURNE
State : FL
Zip : 32934-7598
Country : US
Telephone Number : 321-637-3788
Fax Number :
Provider Business Practice Location Address
First Line : 2900 VETERANS WAY
Second Line :
City : VIERA
State : FL
Zip : 32940-8007
Country : US
Telephone Number : 321-637-3788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

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Directions to “ LYNDIA J DAUGHTRY RDH” Practice Location

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