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KEITH C WINTERNHEIMER DDS PC NPI 1477645216


NPI Information

NPI: 1477645216
Provider Name: KEITH C WINTERNHEIMER DDS PC
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
610 NORTH COURT
GRAYVILLE, IL
ZIP 62844
Phone: (618) 375-6341
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KEITH C WINTERNHEIMER DDS PC is a dentist in Grayville, IL. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. KEITH C WINTERNHEIMER DDS PC NPI is 1477645216. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

610 NORTH COURT
GRAYVILLE, IL
ZIP 62844-002
Phone: (618) 375-6341

The provider's authorized official is Keith Clarence Winternheimer .
The authorized official title is President and has the following contact phone number (812) 985-7772.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 1/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist12009321AINDIANANo
2122300000XDentist019024049ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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