Provider Demographics
NPI:1568403392
Name:WINTER, HERBERT KARL (DDS)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:KARL
Last Name:WINTER
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 1:27300 LANE ST STE 102
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-2010
Mailing Address - Country:US
Mailing Address - Phone:248-854-5572
Mailing Address - Fax:248-398-6773
Practice Address - Street 1:26657 WOODWARD AVE
Practice Address - Street 2:STE 102
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070
Practice Address - Country:US
Practice Address - Phone:248-336-3600
Practice Address - Fax:248-398-6773
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010132141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice