Provider Demographics
NPI:1760512594
Name:WINDSOR, DANIEL S III (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:WINDSOR
Suffix:III
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 1:2313 CRAWFORD RD
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36867-3600
Mailing Address - Country:US
Mailing Address - Phone:334-298-6341
Mailing Address - Fax:334-298-1292
Practice Address - Street 1:2313 CRAWFORD RD
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867-3600
Practice Address - Country:US
Practice Address - Phone:334-298-6341
Practice Address - Fax:334-298-1292
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4135122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist