Provider Demographics
NPI:1770542870
Name:WESTMORELAND, LINDA KAY (DDS)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:KAY
Last Name:WESTMORELAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 SALEM AVE
Mailing Address - Street 2:SUITE A.
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401-3444
Mailing Address - Country:US
Mailing Address - Phone:573-368-7325
Mailing Address - Fax:573-368-7326
Practice Address - Street 1:713 SALEM AVE
Practice Address - Street 2:SUITE A.
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401-3444
Practice Address - Country:US
Practice Address - Phone:573-368-7325
Practice Address - Fax:573-368-7326
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO015865122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist