MEDICARE: DR. GERARDO LINARDUCCI JR. 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
1	122300000X	Dentist	13327	MD

General Provider Information

NPI Number	:	1609836170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERARDO LINARDUCCI JR. DMD

Provider Business Mailing Address
First Line	:	2012 S TOLLGATE RD
Second Line	:	SUITE 108
City	:	BEL AIR
State	:	MD
Zip	:	21015-5900
Country	:	US
Telephone Number	:	443-512-0444
Fax Number	:	443-512-0909

Provider Business Practice Location Address
First Line	:	2012 S TOLLGATE RD
Second Line	:	SUITE 108
City	:	BEL AIR
State	:	MD
Zip	:	21015-5900
Country	:	US
Telephone Number	:	443-512-0444
Fax Number	:	443-512-0909

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	08/12/2008

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