Jerry N Linger, D.D.S.

Individual provider Active NPI General Practice Dentistry · Chester, WV

NPI 1366447351 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1366447351
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
1869 (WV)
Practice address
663 Carolina Ave
Chester, WV 26034-1383
Phone
(304) 387-3801
Fax
(304) 387-9899
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Opted out of Medicare
Yes, effective Sep 3, 2015 through Sep 3, 2027

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1869WVMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1869 WV Yes

Addresses

Primary practice location

663 Carolina Ave
Chester, WV 26034-1383

Mailing address

663 Carolina Ave
Chester, WV 26034-1383
Phone (304) 387-3801

Other providers in Chester, WV

All providers in Chester, WV · General Practice Dentistry in West Virginia

Sources for this page

Verify at the official NPI Registry.