Provider Demographics
NPI:1942328877
Name:WINTHROP, DENNIS BRIAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:BRIAN
Last Name:WINTHROP
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10433 W FLORISSANT AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-2342
Mailing Address - Country:US
Mailing Address - Phone:314-524-3400
Mailing Address - Fax:314-524-5020
Practice Address - Street 1:10433 W FLORISSANT AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-2342
Practice Address - Country:US
Practice Address - Phone:314-524-3400
Practice Address - Fax:314-524-5020
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO012439122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist