Provider Demographics
NPI:1174099014
Name:ERIC A. WINTER, D.D.S., P.C.
Entity type:Organization
Organization Name:ERIC A. WINTER, D.D.S., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:WINTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-466-3222
Mailing Address - Street 1:11961 BRADBURN BLVD UNIT 200
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-5088
Mailing Address - Country:US
Mailing Address - Phone:303-466-3222
Mailing Address - Fax:303-466-1464
Practice Address - Street 1:11961 BRADBURN BLVD UNIT 200
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-5088
Practice Address - Country:US
Practice Address - Phone:303-466-3222
Practice Address - Fax:303-466-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-18
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental