Provider Demographics
NPI:1710244256
Name:LIN, LI-PING (DMD)
Entity Type:Individual
Prefix:
First Name:LI-PING
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3905 ARROW WOOD RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7680
Mailing Address - Country:US
Mailing Address - Phone:954-599-7716
Mailing Address - Fax:
Practice Address - Street 1:1508 DESSAU RIDGE LN
Practice Address - Street 2:#605
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-2119
Practice Address - Country:US
Practice Address - Phone:512-777-1648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-23
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX260731223P0300X
FLDN180701223P0300X
CA568121223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics