Provider Demographics
NPI:1326027814
Name:WINN, TERRI ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERRI
Middle Name:ANN
Last Name:WINN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933-1950
Mailing Address - Country:US
Mailing Address - Phone:765-362-5437
Mailing Address - Fax:765-362-1652
Practice Address - Street 1:108 N OAK ST
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-1950
Practice Address - Country:US
Practice Address - Phone:765-362-5437
Practice Address - Fax:765-362-1652
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12008572A1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry