Provider Demographics
NPI:1639271661
Name:WINTER, DANIEL M (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:WINTER
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 1:482 HOUSTON ST.
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6172
Mailing Address - Country:US
Mailing Address - Phone:785-776-0097
Mailing Address - Fax:
Practice Address - Street 1:482 HOUSTON ST.
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6172
Practice Address - Country:US
Practice Address - Phone:785-776-0097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS64741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA1623001Medicare UPIN