Healthcare Provider Details

I. General information

NPI: 1528997830
Provider Name (Legal Business Name): LINDSAY BEVIS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 2ND ST
EXCELSIOR MN
55331-2038
US

IV. Provider business mailing address

8560 N FAIRWAY PT
VICTORIA MN
55386-9631
US

V. Phone/Fax

Practice location:
  • Phone: 952-474-6133
  • Fax:
Mailing address:
  • Phone: 920-988-6517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. LINDSAY PFEIFER BEVIS
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 920-988-6517