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NPI Code Detail

MEDICARE: DR. GARY ALLEN LINTON D.M.D.

MEDICARE: DR. GARY ALLEN LINTON D.M.D.
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
11223G0001XGeneral Practice Dentistry22DI01061600NJ

General Provider Information

NPI Number : 1417001678
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY ALLEN LINTON D.M.D.
Provider Business Mailing Address
First Line : 145 PORTOFINO DR
Second Line :
City : NORTH VENICE
State : FL
Zip : 34275-6655
Country : US
Telephone Number : 941-484-6297
Fax Number : 941-488-2160
Provider Business Practice Location Address
First Line : 235 DOLPHIN AVE
Second Line :
City : NORTHFIELD
State : NJ
Zip : 08225-2015
Country : US
Telephone Number : 609-645-5814
Fax Number : 609-645-5872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 07/08/2007

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