Provider Demographics
NPI:1598969453
Name:GUTTMAN, D.D.S. AND WINTHROP, D.M.D., PC
Entity Type:Organization
Organization Name:GUTTMAN, D.D.S. AND WINTHROP, D.M.D., PC
Other - Org Name:ALLIED DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:WINTHROP
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:314-524-3400
Mailing Address - Street 1:10433 W FLORISSANT AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-2342
Mailing Address - Country:US
Mailing Address - Phone:314-524-3400
Mailing Address - Fax:314-524-5020
Practice Address - Street 1:10433 W FLORISSANT AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-2342
Practice Address - Country:US
Practice Address - Phone:314-524-3400
Practice Address - Fax:314-524-5020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO012439122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty