Provider Demographics
NPI:1932282712
Name:LIN, GEORGE (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:195 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:ST.150
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-8211
Mailing Address - Country:US
Mailing Address - Phone:847-537-7695
Mailing Address - Fax:847-537-6758
Practice Address - Street 1:195 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:ST.150
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-8211
Practice Address - Country:US
Practice Address - Phone:847-537-7695
Practice Address - Fax:847-537-6758
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry