MEDICARE: DR. LINDSEY ANN HORWEDEL DDS

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	122300000X	Dentist	25744	TX

General Provider Information

NPI Number	:	1407169337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDSEY ANN HORWEDEL DDS

Provider Business Mailing Address
First Line	:	6628 HAWKS CREEK AVE
Second Line	:
City	:	WESTWORTH VILLAGE
State	:	TX
Zip	:	76114-4056
Country	:	US
Telephone Number	:	817-732-2995
Fax Number	:

Provider Business Practice Location Address
First Line	:	6628 HAWKS CREEK AVE
Second Line	:
City	:	WESTWORTH VILLAGE
State	:	TX
Zip	:	76114-4056
Country	:	US
Telephone Number	:	817-732-2995
Fax Number	:	817-495-0113

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

Provider Enumeration Date	:	07/20/2010
Last Update Date	:	07/07/2022

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