Provider Demographics
NPI:1497856975
Name:W EMORY LINDER JR DDS PA
Entity Type:Organization
Organization Name:W EMORY LINDER JR DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATION SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EMORY
Authorized Official - Last Name:LINDER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:706-549-4244
Mailing Address - Street 1:1060 GAINES SCHOOL ROAD
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605
Mailing Address - Country:US
Mailing Address - Phone:706-549-4244
Mailing Address - Fax:706-549-4173
Practice Address - Street 1:1060 GAINES SCHOOL ROAD
Practice Address - Street 2:SUITE B-1
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605
Practice Address - Country:US
Practice Address - Phone:706-549-4244
Practice Address - Fax:706-549-4173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6338122300000X
GA11007122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty