Provider Demographics
NPI:1811335193
Name:LINDEN, AMY CATHERINE (DDS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:CATHERINE
Last Name:LINDEN
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 1:806 CATLYN CT
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-9649
Mailing Address - Country:US
Mailing Address - Phone:315-225-8766
Mailing Address - Fax:
Practice Address - Street 1:554 SAND CREEK RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-2433
Practice Address - Country:US
Practice Address - Phone:315-225-8766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY50057418122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist