Provider Demographics
NPI:1730198417
Name:KANE, LINDA R (DDS)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:R
Last Name:KANE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:R
Other - Last Name:KANE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:647 BAEDER RD
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18046-1561
Mailing Address - Country:US
Mailing Address - Phone:215-887-5334
Mailing Address - Fax:
Practice Address - Street 1:647 BAEDER RD
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:18046-1561
Practice Address - Country:US
Practice Address - Phone:215-887-5334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023438L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist