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NPI Code Detail

MEDICARE: DR. COLLIN TAYLOR LINN D.M.D.

MEDICARE:  DR. COLLIN TAYLOR LINN  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDS038780PA

General Provider Information

NPI Number : 1619265618
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COLLIN TAYLOR LINN D.M.D.
Provider Business Mailing Address
First Line : 278 GRANDVIEW PL
Second Line :
City : TROUT RUN
State : PA
Zip : 17771-9259
Country : US
Telephone Number : 570-506-4130
Fax Number :
Provider Business Practice Location Address
First Line : 2039 LYCOMING CREEK RD
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-1206
Country : US
Telephone Number : 570-323-2399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2011
Last Update Date : 10/16/2014

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Directions to “ DR. COLLIN TAYLOR LINN D.M.D.” Practice Location

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