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NPI Code Detail

MEDICARE: DR. BRIAN EDWARD LINK DMD

MEDICARE: DR. BRIAN EDWARD LINK DMD
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 Dentistry014772MO

General Provider Information

NPI Number : 1538273735
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN EDWARD LINK DMD
Provider Business Mailing Address
First Line : 3306 EMERALD LN
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65109-6877
Country : US
Telephone Number : 573-634-2222
Fax Number :
Provider Business Practice Location Address
First Line : 3306 EMERALD LN
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65109-6877
Country : US
Telephone Number : 573-634-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 02/20/2014

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Directions to “ DR. BRIAN EDWARD LINK DMD” Practice Location

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