Provider Demographics
NPI:1851450753
Name:WINEGAR, TROY HARRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:HARRY
Last Name:WINEGAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6364 S HIGHLAND DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-2117
Mailing Address - Country:US
Mailing Address - Phone:801-272-0423
Mailing Address - Fax:801-272-0230
Practice Address - Street 1:6364 S HIGHLAND DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-2117
Practice Address - Country:US
Practice Address - Phone:801-272-0423
Practice Address - Fax:801-272-0230
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT92-145671-99211223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT870652084OtherTAX ID