Individual
DR. A JOHN LINATOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS, PC
Contact information
Practice address
1506 KINGSTON HWY SE, ROME, GA 30161-8949
(706) 295-9792
(706) 295-9931
Mailing address
1506 KINGSTON HWY SE, ROME, GA 30161-8949
(706) 295-9792
(706) 295-9931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
GA010806
GA
1223P0300X
Periodontics
Primary
GA010806
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109157
DORAL
GA
05
—
315105645A
—
GA
01
—
39108
AVESIS
GA
Enumeration date
01/25/2007
Last updated
05/19/2010
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