MEDICARE: WINSLOW DENTAL CORPORATION

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
1	1223G0001X	General Practice Dentistry	57368	CA

General Provider Information

NPI Number	:	1578850350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINSLOW DENTAL CORPORATION

Provider Business Mailing Address
First Line	:	4000 TRUXEL RD STE 2
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-3726
Country	:	US
Telephone Number	:	916-515-1000
Fax Number	:	916-515-1110

Provider Business Practice Location Address
First Line	:	4000 TRUXEL RD STE 2
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-3726
Country	:	US
Telephone Number	:	916-515-1000
Fax Number	:	916-515-1110

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JERON PHILLIP WINSLOW
Credential	:	D.D.S.
Telephone Number	:	916-515-1000

Provider Enumeration Date	:	06/30/2011
Last Update Date	:	06/30/2011

Similar Medicare Providers

1528224078 — DR. BRENDA LEAL HERRERA D.M.D
Practice Location Address:

4000 TRUXEL RD , SUITE A2
SACRAMENTO, CA
95834-3726

Practice Phone: 916-515-1000
Practice Fax: 916-515-1110

1245122738 — SANDHU DENTAL SOLUTIONS INC
Practice Location Address:

4000 TRUXEL RD STE 2
SACRAMENTO, CA
95834-3726

Practice Phone: 916-299-5396
Practice Fax:

1942743273 — DANIEL SHELTON OT
Practice Location Address:

2628 G ST
SACRAMENTO, CA
95816-3726

Practice Phone: 707-477-2113
Practice Fax:

1639677842 — LOVE AND SERENITY LLC
Practice Location Address:

57 FARALLON CIR
SACRAMENTO, CA
95831-3726

Practice Phone: 916-821-4423
Practice Fax:

1508723354 — SAYSOMBOUN SOUVANNARATH
Practice Location Address:

3947 LENNANE DR STE 110
SACRAMENTO, CA
95834-1971

Practice Phone: 916-364-8395
Practice Fax:

1013866037 — LADARIUS ANTHONY FRISON ARAFILES
Practice Location Address:

3840 ROSIN CT STE 130
SACRAMENTO, CA
95834-1699

Practice Phone: 916-374-0800
Practice Fax:

Directions to “WINSLOW DENTAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.