Provider Demographics
NPI:1770642498
Name:LINAKER, MATTHEW FORTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:FORTE
Last Name:LINAKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8070 N ORACLE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6416
Mailing Address - Country:US
Mailing Address - Phone:520-531-1496
Mailing Address - Fax:520-531-1898
Practice Address - Street 1:8070 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6416
Practice Address - Country:US
Practice Address - Phone:520-531-1496
Practice Address - Fax:520-531-1898
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ40201223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics