Individual
DR. LINDON SEAN ENDSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2098 N VALLEY MILLS DR STE A, WACO, TX 76710-2585
(254) 799-9540
(254) 751-0214
Mailing address
2098 N VALLEY MILLS DR STE A, WACO, TX 76710-2585
(254) 799-9520
(254) 300-9555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19559
TX
1223G0001X
General Practice Dentistry
19559
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
19559
TX
332BC3200X
Customized Equipment (DME)
Primary
19559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821170549
NPI
TX
Enumeration date
10/20/2006
Last updated
09/22/2021
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