Provider Demographics
NPI:1225678147
Name:MEADOWMONT DENTISTRY
Entity Type:Organization
Organization Name:MEADOWMONT DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:WINOKUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-969-9330
Mailing Address - Street 1:400 MEADOWMONT VILLAGE CIR STE 427
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7505
Mailing Address - Country:US
Mailing Address - Phone:919-969-9330
Mailing Address - Fax:919-969-2774
Practice Address - Street 1:400 MEADOWMONT VILLAGE CIR STE 427
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7505
Practice Address - Country:US
Practice Address - Phone:919-969-9330
Practice Address - Fax:919-969-2774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies