Provider Demographics
NPI:1750559183
Name:JEFFREY A LINDERMAN DDS, PC
Entity type:Organization
Organization Name:JEFFREY A LINDERMAN DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS, PC
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LINDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-846-3860
Mailing Address - Street 1:82 6TH ST SE
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2274
Mailing Address - Country:US
Mailing Address - Phone:317-846-3860
Mailing Address - Fax:317-846-2203
Practice Address - Street 1:82 6TH ST SE
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2274
Practice Address - Country:US
Practice Address - Phone:317-846-3860
Practice Address - Fax:317-846-2203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty