Provider Demographics
NPI:1760222558
Name:RANALLO, LINDSEY TAYLOR (DMD)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:TAYLOR
Last Name:RANALLO
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:TAYLOR
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5336 VOLUNTEER AVE UNIT 101
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-0422
Mailing Address - Country:US
Mailing Address - Phone:919-302-2124
Mailing Address - Fax:
Practice Address - Street 1:5413 WATERGRASS DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-7803
Practice Address - Country:US
Practice Address - Phone:910-756-3065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13855122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist