Provider Demographics
NPI:1366410128
Name:LINDINGER, ROBERT A (DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:LINDINGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6125 E OLSON DR
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-7188
Mailing Address - Country:US
Mailing Address - Phone:928-289-2000
Mailing Address - Fax:928-213-6136
Practice Address - Street 1:620 LEE ST
Practice Address - Street 2:
Practice Address - City:WINSLOW
Practice Address - State:AZ
Practice Address - Zip Code:86047-2435
Practice Address - Country:US
Practice Address - Phone:928-289-2000
Practice Address - Fax:928-213-6136
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD2600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ089591Medicaid