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Contact Information

LYDIA P WINTERS, DMD
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE PHS HOSPITAL
FORT DEFIANCE, AZ86504
 Phone: 928-729-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for LYDIA P WINTERS · (Female)

NPI # 1063675312
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/08/2008
Last updated 07/25/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 2300
  • OK License # 6265
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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