Healthcare Provider Details

I. General information

NPI: 1700155934
Provider Name (Legal Business Name): WINKLER & JONES DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2011
Last Update Date: 12/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4915 25TH AVE NE SUITE 203
SEATTLE WA
98105-5667
US

IV. Provider business mailing address

4915 25TH AVE NE SUITE 203
SEATTLE WA
98105-5667
US

V. Phone/Fax

Practice location:
  • Phone: 206-525-1999
  • Fax: 206-525-3100
Mailing address:
  • Phone: 206-525-1999
  • Fax: 206-525-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number5843
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number8252
License Number StateWA

VIII. Authorized Official

Name: DR. REID J. WINKLER
Title or Position: PARTNER
Credential: DDS MSD
Phone: 206-525-1999