Healthcare Provider Details

I. General information

NPI: 1851520944
Provider Name (Legal Business Name): LYNDSAY C. KUZMAK D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNDSAY CAREY BARE D.D.S.

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 11/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 S. CENTER STREET
WESTMINSTER MD
21157
US

IV. Provider business mailing address

20 S. CENTER STREET
WESTMINSTER MD
21157
US

V. Phone/Fax

Practice location:
  • Phone: 410-848-5656
  • Fax: 410-848-6646
Mailing address:
  • Phone: 410-848-5656
  • Fax: 410-848-6646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14170
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: