# LINDSEY SHALL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ponderosa Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881371813
- **Authorized official:** LINDSEY SHALL DMD (DENTIST)
- **Authorized official phone:** (757) 502-3659

## Contact information

- **Practice address:** 14991 E HAMPDEN AVE STE 370, AURORA, CO 80014-3996
- **Practice address phone:** (303) 693-1215
- **Mailing address:** 14991 E HAMPDEN AVE STE 370, AURORA, CO 80014-3996

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2023
- **Last updated:** 07/06/2023