| Timothy V Winegarden Dds Msd Pc | |
|
222 Edgewood Rd Nw Cedar Rapids IA 52405-4472 | |
| (319) 396-8364 | |
| (319) 396-5800 |
| Full Name | Timothy V Winegarden Dds Msd Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 222 Edgewood Rd Nw, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Timothy V Winegarden (ORTHODONTIST PRESIDENT) |
| Authorized Official Contact | 3193968364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy V Winegarden Dds Msd Pc 222 Edgewood Rd Nw Cedar Rapids IA 52405-4472 Ph: (319) 396-8364 | Timothy V Winegarden Dds Msd Pc 222 Edgewood Rd Nw Cedar Rapids IA 52405-4472 Ph: (319) 396-8364 |
| NPI Number | 1871626838 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871626838 | NPI | - | NPPES |
| 0142687 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5806 (Iowa) | Primary |
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