Individual
LINDSEY WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1401 MADISON AVE, COVINGTON, KY 41011
(859) 655-6100
Mailing address
1401 MADISON AVE, COVINGTON, KY 41011-3313
(859) 655-6100
(859) 655-6148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9335
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100267130
—
KY
Enumeration date
07/26/2013
Last updated
05/04/2020
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