Organization
KEITH C WINTERNHEIMER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH CLARENCE WINTERNHEIMER DDS (PRESIDENT)
(812) 985-7772
Entity
Organization
Contact information
Practice address
610 NORTH COURT, GRAYVILLE, IL 62844-1002
(618) 375-6341
Mailing address
4301 S POSEY COUNTY LINE ROAD, EVANSVILLE, IN 47712-9301
(812) 985-7772
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019024049
IL
122300000X
Dentist
12009321A
IN
Other
Enumeration date
09/29/2006
Last updated
01/18/2013
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