Individual
DR. JASINA CAMILLE WINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1000 HAYNES ST, MEMPHIS, TN 38114-3374
(901) 515-5257
(901) 544-7602
Mailing address
2591 LYNNFIELD RD, MEMPHIS, TN 38119-7934
(901) 515-5257
(901) 544-7602
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
8266
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440307
—
TN
01
—
8266
LICENSE
TN
01
—
9179667
DORAL DENTAL PROVIDER #
TN
Enumeration date
11/30/2006
Last updated
07/09/2007
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