Provider Demographics
NPI:1073208823
Name:LYNN-SIDHU, MADELINE LAUREN (DDS)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:LAUREN
Last Name:LYNN-SIDHU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:
Other - Last Name:LYNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6190 LYNDON B JOHNSON FWY STE 900
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6348
Mailing Address - Country:US
Mailing Address - Phone:972-934-1400
Mailing Address - Fax:972-934-0195
Practice Address - Street 1:3302 GASTON AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2013
Practice Address - Country:US
Practice Address - Phone:214-828-8215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41612122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist