Provider Demographics
NPI:1275606949
Name:HIMMELBERGER, LINDA K (DMD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:K
Last Name:HIMMELBERGER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:DEVON
Mailing Address - State:PA
Mailing Address - Zip Code:19333
Mailing Address - Country:US
Mailing Address - Phone:610-688-2211
Mailing Address - Fax:610-964-9260
Practice Address - Street 1:227 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:DEVON
Practice Address - State:PA
Practice Address - Zip Code:19333
Practice Address - Country:US
Practice Address - Phone:610-688-2211
Practice Address - Fax:610-964-9260
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021217L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice