Provider Demographics
NPI:1407180466
Name:GERALD M. WINKLER, D.M.D., P.C.
Entity Type:Organization
Organization Name:GERALD M. WINKLER, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-341-9465
Mailing Address - Street 1:4 CABOT PL
Mailing Address - Street 2:SUITE 8
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-4613
Mailing Address - Country:US
Mailing Address - Phone:781-341-9465
Mailing Address - Fax:781-341-9234
Practice Address - Street 1:4 CABOT PL
Practice Address - Street 2:SUITE 8
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-4613
Practice Address - Country:US
Practice Address - Phone:781-341-9465
Practice Address - Fax:781-341-9234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10606261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental