Provider Demographics
NPI:1467425553
Name:WINN, ERIK DANIEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:DANIEL
Last Name:WINN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 HOLIDAY HILL RD
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-1836
Mailing Address - Country:US
Mailing Address - Phone:805-636-3956
Mailing Address - Fax:888-232-8536
Practice Address - Street 1:1531 HOLIDAY HILL RD
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-1836
Practice Address - Country:US
Practice Address - Phone:805-636-3956
Practice Address - Fax:888-232-8536
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62214122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist