MEDICARE: DR. HEATHER A. LINDSAY D.D.S., M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	18798	TX

General Provider Information

NPI Number	:	1003916503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER A. LINDSAY D.D.S., M.S.

Provider Business Mailing Address
First Line	:	1616 CLEAR LAKE CITY BLVD
Second Line	:	SUITE 108
City	:	HOUSTON
State	:	TX
Zip	:	77062-8068
Country	:	US
Telephone Number	:	281-486-1018
Fax Number	:	281-486-1075

Provider Business Practice Location Address
First Line	:	1616 CLEAR LAKE CITY BLVD
Second Line	:	SUITE 108
City	:	HOUSTON
State	:	TX
Zip	:	77062-8068
Country	:	US
Telephone Number	:	281-486-1018
Fax Number	:	281-486-1075

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	07/08/2007

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