Provider Demographics
NPI:1801026653
Name:AUSBERRY, LYDIA CECILIA (DDS)
Entity type:Individual
Prefix:DR
First Name:LYDIA
Middle Name:CECILIA
Last Name:AUSBERRY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 W STAGECOACH TRL
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76085-8356
Mailing Address - Country:US
Mailing Address - Phone:202-378-7089
Mailing Address - Fax:
Practice Address - Street 1:6628 LAKE WORTH BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:TX
Practice Address - Zip Code:76135-3020
Practice Address - Country:US
Practice Address - Phone:817-238-7984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41186122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist