Provider Demographics
NPI:1366608531
Name:WYNTER, CHARMAINE ANNE (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARMAINE
Middle Name:ANNE
Last Name:WYNTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CHARMAINE
Other - Middle Name:ANNE
Other - Last Name:FOLKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:10903 INDIAN HEAD HWY
Mailing Address - Street 2:SUITE # 202
Mailing Address - City:FT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-4000
Mailing Address - Country:US
Mailing Address - Phone:301-203-3944
Mailing Address - Fax:301-203-3945
Practice Address - Street 1:10903 INDIAN HEAD HWY
Practice Address - Street 2:SUITE # 202
Practice Address - City:FT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-4000
Practice Address - Country:US
Practice Address - Phone:301-203-3944
Practice Address - Fax:301-203-3945
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD9343122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist