Provider Demographics
NPI:1184942674
Name:WINKELMANN AND ASSOCIATES, DDS, PA
Entity type:Organization
Organization Name:WINKELMANN AND ASSOCIATES, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WINKELMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-570-9100
Mailing Address - Street 1:12520 CAPITAL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-4659
Mailing Address - Country:US
Mailing Address - Phone:919-570-9100
Mailing Address - Fax:919-570-9101
Practice Address - Street 1:12520 CAPITAL BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-4659
Practice Address - Country:US
Practice Address - Phone:919-570-9100
Practice Address - Fax:919-570-9101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC84091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty