Provider Demographics
NPI:1912062381
Name:STEVEN G. WINTHER, D.D.S.
Entity Type:Organization
Organization Name:STEVEN G. WINTHER, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:WINTHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:320-839-2596
Mailing Address - Street 1:17 2ND ST SE
Mailing Address - Street 2:
Mailing Address - City:ORTONVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56278-1541
Mailing Address - Country:US
Mailing Address - Phone:320-839-2596
Mailing Address - Fax:320-839-2154
Practice Address - Street 1:17 2ND ST SE
Practice Address - Street 2:
Practice Address - City:ORTONVILLE
Practice Address - State:MN
Practice Address - Zip Code:56278-1541
Practice Address - Country:US
Practice Address - Phone:320-839-2596
Practice Address - Fax:320-839-2154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2008-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9118122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty