Individual ProviderLindsay BancroftDentistDental ProvidersPractice Address3205 Cowley Way Apt 3, San Diego, CA 92117-6365(716) 432-9554PECOS EnrollmentBased on the most recent information from CMS, provider Lindsay Bancroft is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1972811479Provider TypeIndividualFull NameBancroft, LindsayTitleDr.CredentialDDSGenderFemaleSole ProprietorYesEnumeration Date9/17/2010Last Updated9/15/2011Contact InformationPractice LocationPractice Address3205 Cowley Way Apt 3, San Diego, CA 92117-6365Phone(716) 432-9554FaxUnlisted FaxMailing LocationMailing Address3205 Cowley Way Apt 3, San Diego, CA 92117-6365PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense60840California