Provider Demographics
NPI:1023676475
Name:LINDSEY, JENNA ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:JENNA
Middle Name:ELIZABETH
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 101
Mailing Address - Street 2:
Mailing Address - City:LINVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28646-0101
Mailing Address - Country:US
Mailing Address - Phone:828-260-9289
Mailing Address - Fax:
Practice Address - Street 1:1632 MILLERS GAP HWY
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-7957
Practice Address - Country:US
Practice Address - Phone:828-733-2042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-31
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11406122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist