Provider Demographics
NPI:1407413081
Name:WINKER, EMILY RAE (DDS)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:RAE
Last Name:WINKER
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 1:820 2ND AVE N
Mailing Address - Street 2:
Mailing Address - City:WINDOM
Mailing Address - State:MN
Mailing Address - Zip Code:56101-1761
Mailing Address - Country:US
Mailing Address - Phone:507-822-2539
Mailing Address - Fax:507-831-5025
Practice Address - Street 1:820 2ND AVE N
Practice Address - Street 2:
Practice Address - City:WINDOM
Practice Address - State:MN
Practice Address - Zip Code:56101-1761
Practice Address - Country:US
Practice Address - Phone:507-831-1370
Practice Address - Fax:507-831-5025
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND14210122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist