MEDICARE: DR. LINDA PLAAG D.D.S

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	046936	NY

General Provider Information

NPI Number	:	1356345623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA PLAAG D.D.S

Provider Business Mailing Address
First Line	:	2000 GRAND AVE
Second Line	:
City	:	NORTH BALDWIN
State	:	NY
Zip	:	11510-2811
Country	:	US
Telephone Number	:	516-771-5251
Fax Number	:	516-378-4543

Provider Business Practice Location Address
First Line	:	2000 GRAND AVE
Second Line	:
City	:	NORTH BALDWIN
State	:	NY
Zip	:	11510-2811
Country	:	US
Telephone Number	:	516-771-5251
Fax Number	:	516-378-4543

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	07/12/2007

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