MEDICARE: WINTON DENTAL LLC

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	122300000X	Dentist

General Provider Information

NPI Number	:	1972459303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINTON DENTAL LLC

Provider Business Mailing Address
First Line	:	944 HEMPSTEAD DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-5914
Country	:	US
Telephone Number	:	513-931-6228
Fax Number	:

Provider Business Practice Location Address
First Line	:	944 HEMPSTEAD DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-5914
Country	:	US
Telephone Number	:	513-931-6228
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	SABRINA CHIU
Credential	:
Telephone Number	:	740-580-2000

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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