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General NPI Number Information
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NPI Number | 1437261872
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Entity Type | Organization
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Legal Business Name | PHILLIP LINDSEY DDS PA
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4601 50TH ST SUITE 201
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City | LUBBOCK
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State | TX
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Zip | 79414-3513
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Country | US
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Telephone | 806-793-3308
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Fax | 806-793-0585
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Provider Business Mailing Address
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Address Line | 4601 50TH ST SUITE 201
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City | LUBBOCK
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State | TX
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Zip | 79414-3513
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Country | US
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Telephone | 806-793-3308
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Fax | 806-793-0585
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILLIP R LINDSEY SR.
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Credential | DDS
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Telephone | 806-793-3308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 11830
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License Number State | TX
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