Kerry Gwen Johns Winters in Rosemount - Pediatric Dentistry
Kerry Gwen Johns Winters - NPI 1871564195
Kerry Gwen Johns Winters is a Pediatric Dentistry in Rosemount, Minnesota. Kerry Gwen Johns Winters practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kerry Gwen Johns Winters is 1871564195. The last update date is 2012-11-30.
Kerry Gwen Johns Winters's current location address is 3410 151st St W, Rosemount, Minnesota. You can contact this provider via phone number 6513225788 and fax number 6513224257. The mailing address for Kerry Gwen Johns Winters is 3410 151st St W, Rosemount, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Gwen Johns Winters |
|---|---|
| Address | 3410 151st St W, Rosemount, Minnesota |
| Phone Number | 6513225788 |
| Fax Number | 6513224257 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1871564195 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2012-11-30 |
Provider Mailing Address Detail
| Address | 3410 151st St W |
|---|---|
| City | Rosemount |
| State | Minnesota (MN) |
| Post Code | 550681755 |
| Phone Number | 6513225788 |
| Fax Number | 6513224257 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D11777 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 380650200 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kerry Gwen Johns Winters by the Centers for Medicare & Medicaid Services?
The Kerry Gwen Johns Winters has been issued the NPI (National Provider Identifier) 1871564195 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kerry Gwen Johns Winters is located?
The Kerry Gwen Johns Winters is situated at the following address: 3410 151St St W, Rosemount, MN, 550681755.
What is the area of specialization for Kerry Gwen Johns Winters, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kerry Gwen Johns Winters is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did Kerry Gwen Johns Winters receive its 1871564195 assignment from the Centers for Medicare & Medicaid Services?
The Kerry Gwen Johns Winters was assigned its 1871564195 on 2006-01-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kerry Gwen Johns Winters most recently updated or refreshed?
The details pertaining to the Kerry Gwen Johns Winters, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-11-30.