Keith C Winternheimer Dds Pc | |
610 North Court Grayville IL 62844-1002 | |
(618) 375-6341 | |
Not Available |
Full Name | Keith C Winternheimer Dds Pc |
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Speciality | Dentist |
Location | 610 North Court, Grayville, Illinois |
Authorized Official Name and Position | Keith Clarence Winternheimer (PRESIDENT) |
Authorized Official Contact | 8129857772 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Keith C Winternheimer Dds Pc 4301 S Posey County Line Road Evansville IN 47712-9301 Ph: (812) 985-7772 | Keith C Winternheimer Dds Pc 610 North Court Grayville IL 62844-1002 Ph: (618) 375-6341 |
NPI Number | 1477645216 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 01/18/2013 |
Identifier | Type | State | Issuer |
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1477645216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 12009321A (Indiana) | Secondary |
122300000X | Dentist | 019024049 (Illinois) | Primary |