Healthcare Provider Details
I. General information
NPI: 1083534093
Provider Name (Legal Business Name): WINTHROP DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
220 E 2ND ST
WINTHROP MN
55396-3600
US
IV. Provider business mailing address
220 E 2ND ST
WINTHROP MN
55396-3600
US
V. Phone/Fax
- Phone: 507-647-5313
- Fax: 507-647-4091
- Phone: 507-647-5313
- Fax: 507-647-4091
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KRAIG
SCHUMM
Title or Position: OWNER
Credential: DDS
Phone: 612-978-8974