Provider Demographics
NPI:1518122076
Name:LINDER, A.SCOTT (DMD)
Entity Type:Individual
Prefix:DR
First Name:A.SCOTT
Middle Name:
Last Name:LINDER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 GAINES SCHOOL RD
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-3198
Mailing Address - Country:US
Mailing Address - Phone:706-549-4244
Mailing Address - Fax:706-549-4173
Practice Address - Street 1:1060 GAINES SCHOOL RD
Practice Address - Street 2:SUITE B-1
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-3198
Practice Address - Country:US
Practice Address - Phone:706-549-4244
Practice Address - Fax:706-549-4173
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11007122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist