Organization
DANNY PAUL WINDHAM DDS PC
Active
Other names
Windham Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY JANICE WINDHAM (OFFICE ADMINISTRATOR)
(936) 598-2923
Entity
Organization
Contact information
Practice address
406 CORA ST, CENTER, TX 75935-3611
(936) 598-2923
(936) 598-6412
Mailing address
406 CORA ST, CENTER, TX 75935-3610
(936) 598-2923
(936) 598-6412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12393
TX
1223G0001X
General Practice Dentistry
23935
TX
1223G0001X
General Practice Dentistry
23976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2070096-01
—
TX
05
—
2070120-01
—
TX
05
—
2075038-01
—
TX
Enumeration date
10/27/2009
Last updated
02/18/2010
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