Provider Demographics
NPI:1568522605
Name:WINFIELD, JAMES E (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:WINFIELD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 SOUTH ASH
Mailing Address - Street 2:
Mailing Address - City:ARTHUR
Mailing Address - State:IL
Mailing Address - Zip Code:61911
Mailing Address - Country:US
Mailing Address - Phone:217-543-3415
Mailing Address - Fax:
Practice Address - Street 1:318 SOUTH ASH
Practice Address - Street 2:
Practice Address - City:ARTHUR
Practice Address - State:IL
Practice Address - Zip Code:61911
Practice Address - Country:US
Practice Address - Phone:217-543-3415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist