Provider Demographics
NPI:1982707162
Name:WINTER, MORTON S (DMD MSD)
Entity Type:Individual
Prefix:DR
First Name:MORTON
Middle Name:S
Last Name:WINTER
Suffix:
Gender:M
Credentials:DMD MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 BEAVER GRADE ROAD
Mailing Address - Street 2:
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2638
Mailing Address - Country:US
Mailing Address - Phone:412-264-5755
Mailing Address - Fax:412-264-5756
Practice Address - Street 1:850 BEAVER GRADE ROAD
Practice Address - Street 2:
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-2638
Practice Address - Country:US
Practice Address - Phone:412-264-5755
Practice Address - Fax:412-264-5756
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020659L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics