Provider Demographics
NPI:1063825677
Name:WINOKUR, DANIEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:WINOKUR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1459 RIDGE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-4243
Mailing Address - Country:US
Mailing Address - Phone:239-263-7474
Mailing Address - Fax:239-263-2528
Practice Address - Street 1:1459 RIDGE ST STE 1
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4243
Practice Address - Country:US
Practice Address - Phone:239-263-7474
Practice Address - Fax:239-263-2528
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN257041223S0112X
VA04014159591223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery