Provider Demographics
NPI:1336263292
Name:WINKELMANN, CRAIG A (DDS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:A
Last Name:WINKELMANN
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 1:12520 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
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN15078122300000X
NC8409122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist