Provider Demographics
NPI:1104833813
Name:LINKOW, RONALD GENE (DDS)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:GENE
Last Name:LINKOW
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6825 E TENNESSEE AVE
Mailing Address - Street 2:#641
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1628
Mailing Address - Country:US
Mailing Address - Phone:303-388-3651
Mailing Address - Fax:303-316-4233
Practice Address - Street 1:6825 E TENNESSEE AVE
Practice Address - Street 2:#641
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1628
Practice Address - Country:US
Practice Address - Phone:303-388-3651
Practice Address - Fax:303-316-4233
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice