Provider Demographics
NPI:1124233028
Name:LINKER, GARY JAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:JAY
Last Name:LINKER
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 1:122 MAIN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-2213
Mailing Address - Country:US
Mailing Address - Phone:860-224-2624
Mailing Address - Fax:860-224-2625
Practice Address - Street 1:122 MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-2213
Practice Address - Country:US
Practice Address - Phone:860-224-2624
Practice Address - Fax:860-224-2625
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0049231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice