Provider Demographics
NPI:1336825207
Name:EMILY'S FAMILY DENTISTRY
Entity Type:Organization
Organization Name:EMILY'S FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:507-831-1370
Mailing Address - Street 1:820 2ND AVENUE NORTH
Mailing Address - Street 2:
Mailing Address - City:WINDOM
Mailing Address - State:MN
Mailing Address - Zip Code:56101
Mailing Address - Country:US
Mailing Address - Phone:507-831-1370
Mailing Address - Fax:507-831-5025
Practice Address - Street 1:820 2ND AVENUE NORTH
Practice Address - Street 2:
Practice Address - City:WINDOM
Practice Address - State:MN
Practice Address - Zip Code:56101
Practice Address - Country:US
Practice Address - Phone:507-831-1370
Practice Address - Fax:507-831-5025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental