Provider Demographics
NPI:1992009658
Name:WINTER, DENNIS MARTIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:MARTIN
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 1:833 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2438
Mailing Address - Country:US
Mailing Address - Phone:319-512-3005
Mailing Address - Fax:
Practice Address - Street 1:833 RIVER ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2438
Practice Address - Country:US
Practice Address - Phone:319-512-3005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA07022122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist