Provider Demographics
NPI: | 1669655767 |
---|---|
Name: | WINSTON & LETWIN DDS, PLLC |
Entity Type: | Organization |
Organization Name: | WINSTON & LETWIN DDS, PLLC |
Other - Org Name: | SEATTLE SPECIAL CARE DENTISTRY |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | FINANCIAL COORDINATOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | SERRANA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MELGAR |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 206-522-5029 |
Mailing Address - Street 1: | 4915 25TH AVE NE |
Mailing Address - Street 2: | SUITE 205 |
Mailing Address - City: | SEATTLE |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 98105 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 206-524-1600 |
Mailing Address - Fax: | 206-524-1603 |
Practice Address - Street 1: | 4915 25TH AVE NE |
Practice Address - Street 2: | SUITE 205 |
Practice Address - City: | SEATTLE |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98105 |
Practice Address - Country: | US |
Practice Address - Phone: | 206-524-1600 |
Practice Address - Fax: | 206-524-1603 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-12-11 |
Last Update Date: | 2022-07-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1223G0001X | Dental Providers | Dentist | General Practice | Group - Single Specialty |