Healthcare Provider Details

I. General information

NPI: 1164679874
Provider Name (Legal Business Name): LINDSEY ANN NAGY DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2008
Last Update Date: 05/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 E DIVISION RD
OAK RIDGE TN
37830-6937
US

IV. Provider business mailing address

140 E DIVISION RD
OAK RIDGE TN
37830-6937
US

V. Phone/Fax

Practice location:
  • Phone: 865-482-5811
  • Fax: 865-482-8686
Mailing address:
  • Phone: 865-482-5811
  • Fax: 865-482-8686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDS9087
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: