# DR. RONALD L. WINES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770678864
- **Authorized official:** GABRIELLA KWIATKOWSKI (OFFICE)
- **Authorized official phone:** (317) 839-8191

## Contact information

- **Practice address:** 1635 HAWTHORNE DR, PLAINFIELD, IN 46168-1868
- **Practice address phone:** (317) 839-8191
- **Practice address fax:** (317) 839-5923
- **Mailing address:** 1635 HAWTHORNE DR, PLAINFIELD, IN 46168-1868
- **Mailing address phone:** (317) 839-8191
- **Mailing address fax:** (317) 839-5923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7001 | IN | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/22/2020