Organization
WINN COMMUNITY HEALTH CENTER, INC.
Active
Other names
Winn Community Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEANO THORNTON (CEO)
(318) 648-0375
Entity
Organization
Contact information
Practice address
425 W LAFAYETTE ST, WINNFIELD, LA 71483-3463
(318) 648-0375
Mailing address
PO BOX 1288, WINNFIELD, LA 71483-1288
(318) 648-0375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4275
LA
124Q00000X
Dental Hygienist
1950
LA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/28/2013
Last updated
10/20/2022
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