Jeffrey Oscar Link, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901013774 Issued in MI

Practice address

5090 E Hill Rd
Grand Blanc, MI 48439-7637

Phone

(104) 459-9708

Fax

(810) 445-9971

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2021 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedar Rapids Oral Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Cedar Rapids, IA
  • NPI 1841458981
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1194819995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397637",
            "telephone_number": "810-445-9970",
            "fax_number": "810-445-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397637",
            "telephone_number": "104-459-9708",
            "fax_number": "810-445-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "JEFFREY",
        "middle_name": "OSCAR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901013774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3209898",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DENTAL",
            "identifier": "D137740",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3209870",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "JL013774",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "842026",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin K Liegmann, MD
• Life in Harmony, PLLC
• Kingsley Likukuta
• Kristin A Lindman, APRN-FNP
• Tinishe T Lindsey
• Lisa Barber, LPC, LLC
• Lisa L Guyot MD PHD PC
• Kaye L Littell, DO
• Little Acorns Behavioral Learning LLC
• Weimin Liu, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.