Healthcare Provider Details

I. General information

NPI: 1770666489
Provider Name (Legal Business Name): JAMES M LINDSEY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2516 LOCUST LN
KOKOMO IN
46902-2954
US

IV. Provider business mailing address

2516 LOCUST LN
KOKOMO IN
46902-2954
US

V. Phone/Fax

Practice location:
  • Phone: 765-438-1955
  • Fax:
Mailing address:
  • Phone: 765-438-1955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number12007716A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: