Healthcare Provider Details

I. General information

NPI: 1326559493
Provider Name (Legal Business Name): LINDSAY MUNDIL BS, RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2017
Last Update Date: 10/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNMC COLLEGE OF DENTISTRY 4000 EAST CAMPUS LOOP SOUTH
LINCOLN NE
68583
US

IV. Provider business mailing address

UNMC COLLEGE OF DENTISTRY 4000 EAST CAMPUS LOOP SOUTH
LINCOLN NE
68583
US

V. Phone/Fax

Practice location:
  • Phone: 402-472-7425
  • Fax:
Mailing address:
  • Phone: 402-472-7425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number1982
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: