Provider Demographics
NPI:1447545785
Name:WHEALTON, LINDSEY BROWN (DMD)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:BROWN
Last Name:WHEALTON
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 1:201 WALMART DR
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-8423
Mailing Address - Country:US
Mailing Address - Phone:724-425-1000
Mailing Address - Fax:
Practice Address - Street 1:201 WALMART DR
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8423
Practice Address - Country:US
Practice Address - Phone:724-425-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY90351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice