Provider Demographics
NPI:1114364916
Name:WINFREY, EMILY MICHELLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:MICHELLE
Last Name:WINFREY
Suffix:
Gender:F
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:UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY
Mailing Address - Street 2:800 ROSE STREET, RM. D104
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40636-0297
Mailing Address - Country:US
Mailing Address - Phone:859-323-3368
Mailing Address - Fax:859-257-8584
Practice Address - Street 1:800 ROSE ST RM D104
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-7001
Practice Address - Country:US
Practice Address - Phone:859-323-3368
Practice Address - Fax:859-257-8584
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9317122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist