Provider Demographics
NPI:1104527175
Name:J.LIN PERIO LLC
Entity type:Organization
Organization Name:J.LIN PERIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEIODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:JU YING
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:469-657-5298
Mailing Address - Street 1:2025 LIVERPOOL DR. PLANO
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-2025
Mailing Address - Country:US
Mailing Address - Phone:469-657-5298
Mailing Address - Fax:
Practice Address - Street 1:452 TX-121 UNIT 150
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019
Practice Address - Country:US
Practice Address - Phone:469-453-6168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental