Provider Demographics
NPI:1871911156
Name:FUJAWA, LINDSAY FRANCES (DDS)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:FRANCES
Last Name:FUJAWA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:FRANCES
Other - Last Name:PIGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:315 2ND ST APT 513
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-4991
Mailing Address - Country:US
Mailing Address - Phone:817-223-4551
Mailing Address - Fax:
Practice Address - Street 1:1657 N CANTON CENTER RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2948
Practice Address - Country:US
Practice Address - Phone:734-335-7270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-03
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901021904122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist