Provider Demographics
NPI:1467650887
Name:WINTER, LINDA L (DMD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:L
Last Name:WINTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 N RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-2985
Mailing Address - Country:US
Mailing Address - Phone:316-722-2166
Mailing Address - Fax:316-722-0949
Practice Address - Street 1:1445 N RIDGE RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-2985
Practice Address - Country:US
Practice Address - Phone:316-722-2166
Practice Address - Fax:316-722-0949
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS 5342122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS97-4395OtherUNITED CONCORDIA
KS08-328OtherBLUE CROSS BLUE SHIEDL