Provider Demographics
NPI:1548490451
Name:ORLIN, LINDI (DMD)
Entity type:Individual
Prefix:
First Name:LINDI
Middle Name:
Last Name:ORLIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:LINDI
Other - Middle Name:
Other - Last Name:KIMELMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:444 BALLYTORE RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-2309
Mailing Address - Country:US
Mailing Address - Phone:610-715-4691
Mailing Address - Fax:
Practice Address - Street 1:444 BALLYTORE RD
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-2309
Practice Address - Country:US
Practice Address - Phone:610-715-4691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039913122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist