Provider Demographics
NPI:1609923374
Name:DWORKIN, LINN L (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINN
Middle Name:L
Last Name:DWORKIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:CHAIM
Other - Middle Name:
Other - Last Name:DWORKIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:6900 FIELDCREST RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-1508
Mailing Address - Country:US
Mailing Address - Phone:410-764-8631
Mailing Address - Fax:
Practice Address - Street 1:1777 REISTERSTOWN RD
Practice Address - Street 2:SUITE 202W
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-1306
Practice Address - Country:US
Practice Address - Phone:410-602-2070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD81081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice