Provider Demographics
NPI:1225190531
Name:ALEXANDER LINSKY, DMD,PC
Entity Type:Organization
Organization Name:ALEXANDER LINSKY, DMD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:OWEN
Authorized Official - Last Name:LINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:515-482-6677
Mailing Address - Street 1:900 NORTHERN BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5337
Mailing Address - Country:US
Mailing Address - Phone:516-482-6677
Mailing Address - Fax:516-482-6732
Practice Address - Street 1:900 NORTHERN BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5337
Practice Address - Country:US
Practice Address - Phone:516-482-6677
Practice Address - Fax:516-482-6732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041634122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty