Healthcare Provider Details

I. General information

NPI: 1225110505
Provider Name (Legal Business Name): JONATHAN ASHLEY LINDSEY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1632 MILLERS GAP HWY
NEWLAND NC
28657
US

IV. Provider business mailing address

PO BOX 786
NEWLAND NC
28657
US

V. Phone/Fax

Practice location:
  • Phone: 828-733-2042
  • Fax: 828-733-2155
Mailing address:
  • Phone: 828-733-4074
  • Fax: 828-733-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number5362
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: