Provider Demographics
NPI:1467494146
Name:CRYER, LINKSTON THOMAS JR
Entity Type:Individual
Prefix:DR
First Name:LINKSTON
Middle Name:THOMAS
Last Name:CRYER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 SUE MACK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31906-1321
Mailing Address - Country:US
Mailing Address - Phone:706-568-4434
Mailing Address - Fax:
Practice Address - Street 1:3311 GENTIAN BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-5626
Practice Address - Country:US
Practice Address - Phone:706-563-0327
Practice Address - Fax:706-563-0611
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN012488122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist