Provider Demographics
NPI:1821276221
Name:RONALD R LINTS DDS, MS, PC
Entity Type:Organization
Organization Name:RONALD R LINTS DDS, MS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:LINTS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS PC
Authorized Official - Phone:231-922-7210
Mailing Address - Street 1:4020 COPPER VW STE 240
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-7041
Mailing Address - Country:US
Mailing Address - Phone:231-922-7210
Mailing Address - Fax:231-922-9144
Practice Address - Street 1:4020 COPPER VW STE 240
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-7041
Practice Address - Country:US
Practice Address - Phone:231-922-7210
Practice Address - Fax:231-922-9144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental