Healthcare Provider Details

I. General information

NPI: 1225947708
Provider Name (Legal Business Name): CLINDLEYDDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2859 N HALSTED ST STE 1
CHICAGO IL
60657-7011
US

IV. Provider business mailing address

2859 N HALSTED ST STE 1
CHICAGO IL
60657-7011
US

V. Phone/Fax

Practice location:
  • Phone: 402-250-9876
  • Fax:
Mailing address:
  • Phone: 402-250-9876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. CODY LINDLEY
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 402-250-9876