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NPI Code Detail

MEDICARE: WINN FAMILY DENTISTRY

MEDICARE: WINN FAMILY DENTISTRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1126800000XDental Assistant
2124Q00000XDental Hygienist
31223G0001XGeneral Practice Dentistry6264-015WI

General Provider Information

NPI Number : 1790032282
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINN FAMILY DENTISTRY
Provider Business Mailing Address
First Line : 2849 COUNTY HIGHWAY I
Second Line :
City : CHIPPEWA FALLS
State : WI
Zip : 54729-2656
Country : US
Telephone Number : 715-723-0287
Fax Number :
Provider Business Practice Location Address
First Line : 2849 COUNTY HIGHWAY I
Second Line :
City : CHIPPEWA FALLS
State : WI
Zip : 54729-2656
Country : US
Telephone Number : 715-723-0287
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : DR. DANIEL JAMES WINN
Credential : D.D.S.
Telephone Number : 715-723-0287
Provider Enumeration Date : 08/14/2012
Last Update Date : 08/14/2012

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Directions to “WINN FAMILY DENTISTRY ” Practice Location

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