Provider Demographics
NPI:1609836170
Name:LINARDUCCI, GERARDO JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:GERARDO
Middle Name:
Last Name:LINARDUCCI
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:GERARD
Other - Middle Name:
Other - Last Name:LINARDUCCI
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:2012 S TOLLGATE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-5900
Mailing Address - Country:US
Mailing Address - Phone:443-512-0444
Mailing Address - Fax:443-512-0909
Practice Address - Street 1:2012 S TOLLGATE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-5900
Practice Address - Country:US
Practice Address - Phone:443-512-0444
Practice Address - Fax:443-512-0909
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13327122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist