Provider Demographics
NPI:1154642007
Name:LINKINOGGOR, HEATHER DENISE (DDS)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:DENISE
Last Name:LINKINOGGOR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:DENISE
Other - Last Name:GIBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:ELKVIEW
Mailing Address - State:WV
Mailing Address - Zip Code:25071-0009
Mailing Address - Country:US
Mailing Address - Phone:304-965-1200
Mailing Address - Fax:304-965-6158
Practice Address - Street 1:5089 ELK RIVER RD NORTH
Practice Address - Street 2:
Practice Address - City:ELKVIEW
Practice Address - State:WV
Practice Address - Zip Code:25071
Practice Address - Country:US
Practice Address - Phone:304-965-1200
Practice Address - Fax:304-965-6158
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3910122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist