Individual
DR. JONATHAN DALE LINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1690 RIVER ST, WILKESBORO, NC 28697-7630
(336) 838-9400
(336) 838-1872
Mailing address
1690 RIVER ST, WILKESBORO, NC 28697-7630
(336) 838-9400
(336) 838-1872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6839
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0154Y
BCBS
NC
05
—
790154Y
—
NC
01
—
841955
UNITED CONCORDIA
NC
Enumeration date
10/23/2006
Last updated
07/08/2007
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