Dr. Diana Lin
Oral & Maxillofacial Surgeon
2630 Holme Ave Ste 103
Philadelphia
, Pennsylvania 19152-3004
Dr. Diana Lin
Oral & Maxillofacial Surgeon
2630 Holme Ave Ste 103
Philadelphia
, Pennsylvania 19152-3004
(215) 941-7836
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Diana Lin
- 105 Lakeside Drive
- Southampton, PA
- Zip : 18966
- Fax : (215) 941-7836
- Phone : (215) 938-7863
Second Address
- Dr. Diana Lin
- 2630 Holme Ave Ste 103
- Philadelphia, PA
- Zip : 19152-3004
- Phone : (215) 938-7860
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 22DI02849600 | NJ |
National Provider Identifier
| NPI | 1457771545 |
|---|---|
| Provider Name | Dr. Diana Lin |
| First Address | Southampton, PA 18966 |
| Second Address | Philadelphia, PA 19152-3004 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2014 |
| Last Update Date | 26/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.