Organization
LINN ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEISTER HOWARD LINN JR. DDS (OWNER)
(570) 326-6181
Entity
Organization
Contact information
Practice address
425 MARKET ST, WILLIAMSPORT, PA 17701-6345
(570) 326-6181
(570) 326-7421
Mailing address
425 MARKET ST, WILLIAMSPORT, PA 17701-6345
(570) 326-6181
(570) 326-7421
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS018760L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770741506
PERSONAL NPI
PA
Enumeration date
04/29/2011
Last updated
04/29/2011
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