Provider Demographics
NPI:1164643086
Name:JONES-LAPER, LINDA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:M
Last Name:JONES-LAPER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9437 SUNLIT PSGE
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-5933
Mailing Address - Country:US
Mailing Address - Phone:410-465-4512
Mailing Address - Fax:
Practice Address - Street 1:6865 DEERPATH RD SUITE 100
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075
Practice Address - Country:US
Practice Address - Phone:410-796-8555
Practice Address - Fax:410-579-8833
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD112331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice