Provider Demographics
NPI:1770331035
Name:LINSER, JOSEPH J (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:J
Last Name:LINSER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 NEIL AVE APT D
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-6311
Mailing Address - Country:US
Mailing Address - Phone:567-242-9507
Mailing Address - Fax:
Practice Address - Street 1:6303 CENTER ST
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-2467
Practice Address - Country:US
Practice Address - Phone:440-951-5511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0275181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice