Provider Demographics
NPI:1609208461
Name:LINKOUS, RUXIMAR HERNANDEZ (DDS)
Entity Type:Individual
Prefix:DR
First Name:RUXIMAR
Middle Name:HERNANDEZ
Last Name:LINKOUS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2090 BAKER RD NW
Mailing Address - Street 2:SUITE 304-156
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-4600
Mailing Address - Country:US
Mailing Address - Phone:678-643-4233
Mailing Address - Fax:
Practice Address - Street 1:218 RIVERSTONE DR
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-5256
Practice Address - Country:US
Practice Address - Phone:678-643-4233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-04
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014639122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist