Provider Demographics
NPI:1619019668
Name:LIN, JOSEPH H (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:H
Last Name:LIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5224 WILSON AVE S
Mailing Address - Street 2:STE 101B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2587
Mailing Address - Country:US
Mailing Address - Phone:206-721-7880
Mailing Address - Fax:206-721-7788
Practice Address - Street 1:5224 WILSON AVE S
Practice Address - Street 2:STE 101B
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-2587
Practice Address - Country:US
Practice Address - Phone:206-721-7880
Practice Address - Fax:206-721-7788
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA86501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice