Healthcare Provider Details

I. General information

NPI: 1669255089
Provider Name (Legal Business Name): LINDSEY JEAN EMIKO NAKASHIMA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1461 FORD ST STE 101
REDLANDS CA
92373-3908
US

IV. Provider business mailing address

26371 ORANGE AVE
LOMA LINDA CA
92354-6120
US

V. Phone/Fax

Practice location:
  • Phone: 909-793-0111
  • Fax:
Mailing address:
  • Phone: 707-481-0445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number109133
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number109133
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: