MEDICARE: PATRICK LIN DDS PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1487456687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATRICK LIN DDS PLLC

Provider Business Mailing Address
First Line	:	4106 STONE WAY N APT 429
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-5598
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8129 LAKE BALLINGER WAY UNIT 101
Second Line	:
City	:	EDMONDS
State	:	WA
Zip	:	98026-9182
Country	:	US
Telephone Number	:	609-468-1556
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PATRICK LIN
Credential	:
Telephone Number	:	609-468-1556

Provider Enumeration Date	:	03/26/2025
Last Update Date	:	03/26/2025

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