Provider Demographics
NPI:1881365179
Name:LINK, JARED ALLEN (DMD)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:ALLEN
Last Name:LINK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4303 SPRING DR
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-2921
Mailing Address - Country:US
Mailing Address - Phone:775-220-3782
Mailing Address - Fax:
Practice Address - Street 1:9598 PROTOTYPE CT STE A
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-3950
Practice Address - Country:US
Practice Address - Phone:775-234-5595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-26
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7560122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist