MEDICARE: RONALD R LINTS DDS, MS, PC

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
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1821276221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD R LINTS DDS, MS, PC

Provider Business Mailing Address
First Line	:	4020 COPPER VW STE 240
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-7041
Country	:	US
Telephone Number	:	231-922-7210
Fax Number	:	231-922-9144

Provider Business Practice Location Address
First Line	:	4020 COPPER VW STE 240
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-7041
Country	:	US
Telephone Number	:	231-922-7210
Fax Number	:	231-922-9144

Authorized Official
Title or Position	:	OWNER
Name	:	RONALD RICHARD LINTS
Credential	:	DDS MS PC
Telephone Number	:	231-922-7210

Provider Enumeration Date	:	02/07/2008
Last Update Date	:	06/09/2008

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