Healthcare Provider Details

I. General information

NPI: 1588550792
Provider Name (Legal Business Name): LYNDSEY ZITO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9064 CORPORATE GARDENS DR
GERMANTOWN TN
38138-7822
US

IV. Provider business mailing address

3150 BELSFIELD CV
MEMPHIS TN
38119-8012
US

V. Phone/Fax

Practice location:
  • Phone: 901-751-3776
  • Fax:
Mailing address:
  • Phone: 901-590-5441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number12826
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: