MEDICARE: LINTON FAMILY DENTISTS, LLC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1245878750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINTON FAMILY DENTISTS, LLC

Provider Business Mailing Address
First Line	:	8794 W BOYNTON BEACH BLVD STE 110
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-4468
Country	:	US
Telephone Number	:	561-777-8980
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 LINTON BLVD STE 11
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6689
Country	:	US
Telephone Number	:	561-495-7277
Fax Number	:	561-495-9458

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SEAN TOMALTY
Credential	:	DMD
Telephone Number	:	561-777-8980

Provider Enumeration Date	:	12/16/2019
Last Update Date	:	12/16/2019

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