Robert Wall Link Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24235 Issued in CA

Practice address

29280 Central Ave
Unit F
Lake Elsinore, CA 92532-2219

Phone

(951) 579-4450

Fax

(888) 505-0677

NPI assigned

Aug 24, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1760675433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1419",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925311419",
            "telephone_number": "951-579-4450",
            "fax_number": "888-505-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29280 CENTRAL AVE",
            "address_2": "UNIT F",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322219",
            "telephone_number": "951-579-4450",
            "fax_number": "888-505-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "ROBERT",
        "middle_name": "WALL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Luisa Leveratto
• Marsha Tavakoli Levi, DDS
• Victor Manuel Lezama Jr.
• Vincent Lieras, PA
• Life Transportation LLC
• Daniel Lee Little, RPH
• Christopher Yeong-Shyang Liu, PHARM.D.
• Brianna Michelle Llamas, RN
• Margie Lyn Logsdon, PHARMD
• Mark Joseph Lomboy

• General Practice Dentistry in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.