Healthcare Provider Details

I. General information

NPI: 1295529667
Provider Name (Legal Business Name): JCW DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8717 MAIN ST
NEEDVILLE TX
77461-8138
US

IV. Provider business mailing address

8717 MAIN ST
NEEDVILLE TX
77461-8138
US

V. Phone/Fax

Practice location:
  • Phone: 979-793-3366
  • Fax:
Mailing address:
  • Phone: 979-793-3366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH C WINKLEY
Title or Position: OWNER
Credential: DDS
Phone: 713-822-8121