Provider Demographics
NPI:1417355348
Name:LINK, JACOBS & LINK, DDS, PC
Entity Type:Organization
Organization Name:LINK, JACOBS & LINK, DDS, PC
Other - Org Name:A DIVISION OF ATLANTIC DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-596-7000
Mailing Address - Street 1:11007 WARWICK BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-3290
Mailing Address - Country:US
Mailing Address - Phone:757-596-7000
Mailing Address - Fax:757-599-4423
Practice Address - Street 1:11007 WARWICK BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-3290
Practice Address - Country:US
Practice Address - Phone:757-596-7000
Practice Address - Fax:757-599-4423
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTIC DENTAL CARE, PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005691122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty