Provider Demographics
NPI:1972032704
Name:LINKOWSKI, SAMANTHA RUTH
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:RUTH
Last Name:LINKOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 GLENCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7638
Mailing Address - Country:US
Mailing Address - Phone:724-831-8649
Mailing Address - Fax:
Practice Address - Street 1:5310 PERRY HWY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-3001
Practice Address - Country:US
Practice Address - Phone:412-931-6571
Practice Address - Fax:412-931-1911
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-06
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS041331122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist