Winston Co DDS PC
Dentist, General Practice in Dearborn, MI. Organization (NPI-2).
NPI number1790791960
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790791960
- Entity type
- Organization (NPI-2)
- Legal business name
- Winston Co DDS PC
- Organization subpart
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 00015670 | MI | Yes |
Practice location
1308 Monroe StDearborn, MI 48124-2817
Phone 313-561-4431
Mailing address
1308 Monroe StDearborn, MI 48124-2817
Phone 313-561-4431
Authorized official
Winston Co
President
3135614431
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