Provider Demographics
NPI:1336395631
Name:KURT B. LINKOFF, DDS, PA
Entity Type:Organization
Organization Name:KURT B. LINKOFF, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:B
Authorized Official - Last Name:LINKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-795-2900
Mailing Address - Street 1:1445 LIBERTY ROAD
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6432
Mailing Address - Country:US
Mailing Address - Phone:410-795-2900
Mailing Address - Fax:410-795-2943
Practice Address - Street 1:1445 LIBERTY ROAD
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6432
Practice Address - Country:US
Practice Address - Phone:410-795-2900
Practice Address - Fax:410-795-2943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD86861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty