# FREDERICKSBURG DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356639710
- **Authorized official:** DR. JAY B LINDSAY DDS (PARTNER)
- **Authorized official phone:** (830) 997-7232

## Contact information

- **Practice address:** 205 W WINDCREST ST, SUITE 210, FREDERICKSBURG, TX 78624-4479
- **Practice address phone:** (830) 997-7232
- **Practice address fax:** (830) 997-8727
- **Mailing address:** 205 W WINDCREST ST, SUITE 210, FREDERICKSBURG, TX 78624-4479
- **Mailing address phone:** (830) 997-7232
- **Mailing address fax:** (830) 997-8727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 10162 | TX | Yes |
| 261QD0000X | Dental Clinic/Center | 23926 | TX | — |

## Other

- **Enumeration date:** 07/19/2011
- **Last updated:** 07/19/2011