Stephen Karl Linn, D.M.D.

Individual provider Active NPI General Practice Dentistry · Conifer, CO

NPI 1083816151 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1083816151
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
104594 (CO)
Practice address
11873 Springs Rd
Suite #7
Conifer, CO 80433-7263
Phone
(303) 838-1036
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
104594COMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 104594 CO Yes

Addresses

Primary practice location

11873 Springs Rd
Suite #7
Conifer, CO 80433-7263

Mailing address

11873 Springs Rd
Suite #7
Conifer, CO 80433-7263
Phone (303) 838-1036

Other providers in Conifer, CO

All providers in Conifer, CO · General Practice Dentistry in Colorado

Sources for this page

Verify at the official NPI Registry.