=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003747700
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LINDSAY ATWELL DDS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/29/2026
-----------------------------------------------------
Last Update Date | 05/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 829 PLAZA DR
-----------------------------------------------------
City | MARTINSVILLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46151-3236
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-342-7090
-----------------------------------------------------
Fax | 765-342-6703
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 829 PLAZA DR
-----------------------------------------------------
City | MARTINSVILLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46151-3236
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-342-7090
-----------------------------------------------------
Fax | 765-342-6703
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 12015004A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------