Provider Demographics
NPI:1730812231
Name:NAGY, LYNDSEY ANNE (DMD)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:ANNE
Last Name:NAGY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 15TH ST S APT 324
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-5032
Mailing Address - Country:US
Mailing Address - Phone:734-558-4565
Mailing Address - Fax:
Practice Address - Street 1:6464 LINCOLNIA RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-1066
Practice Address - Country:US
Practice Address - Phone:703-876-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-03
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401418290122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist