Provider Demographics
NPI:1194977637
Name:LINN, CHRISTINA KIM COWAN (DMD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:KIM COWAN
Last Name:LINN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5950 S PLATTE CANYON RD STE D9
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7537
Mailing Address - Country:US
Mailing Address - Phone:480-452-7937
Mailing Address - Fax:
Practice Address - Street 1:5950 S PLATTE CANYON RD STE D9
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-7537
Practice Address - Country:US
Practice Address - Phone:480-452-7937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO202858122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist