Provider Demographics
NPI:1568807899
Name:WINFIELD S RUMSEY, DDS
Entity Type:Organization
Organization Name:WINFIELD S RUMSEY, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WINFIELD
Authorized Official - Middle Name:S
Authorized Official - Last Name:RUMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-692-1807
Mailing Address - Street 1:55 NE FAIRGROUNDS RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98311-8629
Mailing Address - Country:US
Mailing Address - Phone:360-692-1807
Mailing Address - Fax:360-692-2668
Practice Address - Street 1:55 NE FAIRGROUNDS RD
Practice Address - Street 2:SUITE 104
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98311-8629
Practice Address - Country:US
Practice Address - Phone:360-692-1807
Practice Address - Fax:360-692-2668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00011189261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental