Healthcare Provider Details

I. General information

NPI: 1902198294
Provider Name (Legal Business Name): GREGORY DAVID WINTER D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2011
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 BALTIMORE PIKE STE 200
CHADDS FORD PA
19317-7377
US

IV. Provider business mailing address

1212 BALTIMORE PIKE STE 200
CHADDS FORD PA
19317-7377
US

V. Phone/Fax

Practice location:
  • Phone: 484-768-6845
  • Fax: 610-471-2050
Mailing address:
  • Phone: 484-768-6845
  • Fax: 610-471-2050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License NumberDS045522
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS045522
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: