Healthcare Provider Details

I. General information

NPI: 1851557045
Provider Name (Legal Business Name): LINDSAY LEE DON D.D.S., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1647 N ALVERNON WAY STE 2
TUCSON AZ
85712-3361
US

IV. Provider business mailing address

1647 N ALVERNON WAY STE 2
TUCSON AZ
85712-3361
US

V. Phone/Fax

Practice location:
  • Phone: 520-795-2323
  • Fax:
Mailing address:
  • Phone: 520-795-2323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberD7903
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: