| Keith C Winternheimer Dds Pc | |
|
610 North Court Grayville IL 62844-1002 | |
| (618) 375-6341 | |
| Not Available |
| Full Name | Keith C Winternheimer Dds Pc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 01/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477645216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009321A (Indiana) | Secondary |
| 122300000X | Dentist | 019024049 (Illinois) | Primary |