Provider Demographics
NPI:1144223777
Name:WINTON, ADAM (MD, DDS)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:WINTON
Suffix:
Gender:M
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 E SAMPLE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6242
Mailing Address - Country:US
Mailing Address - Phone:954-785-8555
Mailing Address - Fax:954-785-8367
Practice Address - Street 1:1201 E SAMPLE RD
Practice Address - Street 2:STE 101
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-6242
Practice Address - Country:US
Practice Address - Phone:954-785-8555
Practice Address - Fax:954-785-8367
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 168821223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery