Provider Demographics
NPI:1578503157
Name:JOHN C. WINSKILL, D.D.S., P.S.
Entity Type:Organization
Organization Name:JOHN C. WINSKILL, D.D.S., P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:WINSKILL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:253-627-5433
Mailing Address - Street 1:2215 N 30TH ST
Mailing Address - Street 2:SUIT #104
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403
Mailing Address - Country:US
Mailing Address - Phone:253-627-5433
Mailing Address - Fax:253-627-0443
Practice Address - Street 1:2215 N 30TH ST
Practice Address - Street 2:SUIT #104
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403
Practice Address - Country:US
Practice Address - Phone:253-627-5433
Practice Address - Fax:253-627-0443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA5887261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental