Healthcare Provider Details

I. General information

NPI: 1548181530
Provider Name (Legal Business Name): LIN & JENG DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3017 TELEGRAPH AVE STE 310
BERKELEY CA
94705-2049
US

IV. Provider business mailing address

2502 LAS GALLINAS AVE
SAN RAFAEL CA
94903-1423
US

V. Phone/Fax

Practice location:
  • Phone: 510-841-7424
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JAMES LIN
Title or Position: PRESIDENT
Credential: DDS
Phone: 510-259-8489