LINDON ENDSLEY DDS
NPI 1104480417
Dentist - General Practice in Waco, TX

Active since April 23, 2019
2098 N VALLEY MILLS DR STE A, WACO, TX 76710(254) 799-9540(254) 751-0214 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2020, Apr 23, 2019 (2 updates tracked since 2019).

About Lindon Endsley Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINDON ENDSLEY DDS (NPI 1104480417), doing business as Se Smile By Design, is a healthcare organization registered as a general practice in Waco, Texas and active in the NPI registry since April 2019. The organization lists Angel Marie Maynard, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1104480417
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLINDON ENDSLEY DDS
Location Address2098 N VALLEY MILLS DR STE AWaco, TX 76710-2585
Mailing Address2098 N Valley Mills Dr Ste AWaco, TX 76710-2585 · (254) 799-9540 · Fax (254) 751-0214
Fax(254) 751-0214
Organization SubpartYesParent: Se Smile By Design
Authorized OfficialAngel Marie MaynardPractice Manager · (254) 799-9540
Enumeration DateApril 23, 2019
Last NPPES UpdateMarch 10, 20202 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
NPI 1104480417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2098 N VALLEY MILLS DR STE A, Waco, TX 76710

Other Names 1

Doing Business AsSe Smile By Design

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2098 N VALLEY MILLS DR STE A
WACO, TX 76710
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2098 N VALLEY MILLS DR STE A
WACO, TX 76710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lindon Endsley Dds's NPI number?

The NPI number for Lindon Endsley Dds is 1104480417. It was assigned to this organization in the NPPES registry on April 23, 2019. The provider is doing business as SE Smile By Design.

Where is Lindon Endsley Dds located?

Lindon Endsley Dds is located at 2098 N Valley Mills Dr Ste A, Waco, TX 76710. The listed phone number is (254) 799-9540.

What is Lindon Endsley Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lindon Endsley Dds was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.