Provider Demographics
NPI:1356193619
Name:WINSLOW, JOHN MCMASTER JR (DMD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:MCMASTER
Last Name:WINSLOW
Suffix:JR
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 1:908 FAIRWAY RD
Mailing Address - Street 2:
Mailing Address - City:AYDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28513-7428
Mailing Address - Country:US
Mailing Address - Phone:252-341-5836
Mailing Address - Fax:
Practice Address - Street 1:908 FAIRWAY RD
Practice Address - Street 2:
Practice Address - City:AYDEN
Practice Address - State:NC
Practice Address - Zip Code:28513-7428
Practice Address - Country:US
Practice Address - Phone:252-341-5836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program