Jack T Winchester Dmd
LBN: Jack T Winchester Dmd
Jack T Winchester Dmd is an health care organization with primary practice located at 3705 Symi Cir , Morehead City NC 28557-4314. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Dental Providers / Dentist is the primary health care specialty.
Jack T Winchester Dmd can be contacted via phone (252) 247-3510, or through Winchester, Jack Tyler via phone (252) 247-3510.
Contact Information
Primary practice address
3705 Symi Cir
Morehead City NC 28557-4314
Phone: (252) 247-3510
Fax: (252) 247-6197
Website:
Authorized official contact:
Name: Winchester, Jack Tyler Doctor of Dental Medicine (DMD)
Phone: (252) 247-3510
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5372 | North Carolina |
| Suppliers / Customized Equipment | 332BC3200X | 5372 | North Carolina |
Profile Details
| NPI number | 1154627230 |
|---|---|
| LBN Legal business name | Jack T Winchester Dmd |
| DBA Doing business as | |
| Authorized official | Winchester, Jack Tyler Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 7th, 2011 |
| Last updated | Feb 7th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154627230 | NPPES |
| Other | 2417497 | MEDICARE |
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