Provider Demographics
NPI:1619953320
Name:WINIKOFF, ARLAN JAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARLAN
Middle Name:JAY
Last Name:WINIKOFF
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 1:7373 FRANCE AVE S #500
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435
Mailing Address - Country:US
Mailing Address - Phone:952-831-2800
Mailing Address - Fax:952-831-5805
Practice Address - Street 1:7373 FRANCE AVE S #500
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435
Practice Address - Country:US
Practice Address - Phone:952-831-2800
Practice Address - Fax:952-831-5805
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN09370122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist