Provider Demographics
NPI:1417947623
Name:PINTER, JEFFREY DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:DAVID
Last Name:PINTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 E 8TH ST
Mailing Address - Street 2:925 EAST 8TH ST.
Mailing Address - City:WINNER
Mailing Address - State:SD
Mailing Address - Zip Code:57580-2674
Mailing Address - Country:US
Mailing Address - Phone:605-842-0119
Mailing Address - Fax:
Practice Address - Street 1:925 E 8TH ST
Practice Address - Street 2:925 EAST 8TH ST.
Practice Address - City:WINNER
Practice Address - State:SD
Practice Address - Zip Code:57580-2674
Practice Address - Country:US
Practice Address - Phone:605-842-0119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD3680207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine