Healthcare Provider Details

I. General information

NPI: 1104352020
Provider Name (Legal Business Name): WILLIAM T LINK, DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 05/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SANFORD DR
MORGANTON NC
28655-2573
US

IV. Provider business mailing address

PO BOX 2358
MORGANTON NC
28680-2358
US

V. Phone/Fax

Practice location:
  • Phone: 828-437-7300
  • Fax: 828-437-7123
Mailing address:
  • Phone: 828-437-7300
  • Fax: 828-437-7123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number5729
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. LEAH R LINK
Title or Position: SECRETARY/TREASURER
Credential:
Phone: 828-437-7300