Heather Denise Linkinoggor, D.D.S
Individual provider Active NPI Dentist · Elkview, WV
NPI 1154642007 · NPPES record last updated Nov 14, 2022
Key facts
- NPI
- 1154642007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 3910 (WV)
- Practice address
- 5089 Elk River Rd North
Elkview, WV 25071 - Phone
- (304) 965-1200
- Fax
- (304) 965-6158
- NPI assigned
- Jun 15, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230215000552 | WV | Order and Referring Only - Dentist |
1355713645 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3910 | WV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preston Taylor Community Health Centers, Incorporated | Past | Accepting new patients | |
| Preston Taylor Community Health Centers, Incorporated | Past |
Accepting new patients | |
| Gibson Family Dentistry, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3910 | WV | Yes |
Addresses
Primary practice location
5089 Elk River Rd North
Elkview, WV 25071
Mailing address
PO Box 9
Elkview, WV 25071-0009
Phone (304) 965-1200
Other practice location 1
132 Cortland Acres Lane
Thomas, WV 26292-2629
Phone (304) 259-5225
Other names
- Miss Heather Denise Gibson
Other providers in Elkview, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.