Individual
WINFIELD CLINTON JOHN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2301 LEXINGTON AVE, SUITE 120, ASHLAND, KY 41101-2873
(606) 329-2219
Mailing address
2301 LEXINGTON AVE, SUITE 120, ASHLAND, KY 41101-2873
(606) 329-2219
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4340
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831292226
NPI GROUP #
KY
01
—
3465
PROVIDER GROUP #
KY
Enumeration date
03/20/2008
Last updated
03/20/2008
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