MEDICARE: DR. LINDSEY ANN CRNALIC DMD

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	1223G0001X	General Practice Dentistry	27115	FL

General Provider Information

NPI Number	:	1952032120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDSEY ANN CRNALIC DMD

Provider Business Mailing Address
First Line	:	2939 PALM HARBOR BLVD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-1928
Country	:	US
Telephone Number	:	727-348-0830
Fax Number	:

Provider Business Practice Location Address
First Line	:	2939 PALM HARBOR BLVD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-1928
Country	:	US
Telephone Number	:	727-348-0830
Fax Number	:

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

Provider Enumeration Date	:	06/20/2022
Last Update Date	:	05/12/2025

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