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Kerry Gwen Johnson Winters, DDS
Pediatric Dentist in Rosemount, Minnesota
NPI 1871564195

Kerry Gwen Johnson Winters is a Pediatric Dentist based in Rosemount, MN and is specialized in Pediatric Dentistry. Kerry Gwen Johnson Winters practices in Rosemount, MN and has the professional credentials of DDS. The NPI Number for Kerry Gwen Johnson Winters is 1871564195 and holds a License No. D11777 (Minnesota).

The current practice location address for Kerry Gwen Johnson Winters is 3410 151St St W, Rosemount, MN and can be reached out via phone at 651-322-5788 and via fax at 651-322-4257.

Location: 3410 151St St W, Rosemount, MN, 55068-1755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871564195
Provider Name
Kerry Gwen Johnson Winters
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3410 151St St W, Rosemount, MN, 55068-1755
Phone Number
651-322-5788
Fax Number
651-322-4257
Provider Enumeration Date
01/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
380650200 05 MN
institution
Provider Business Practice Location Address Details
Address
3410 151St St W
City
Rosemount
State
Minnesota
Zip
55068-1755
Phone Number
651-322-5788
Fax Number
651-322-4257
person
Provider Business Mailing Address Details
Address
3410 151St St W
City
Rosemount
State
Minnesota
Zip
55068-1755
Phone Number
651-322-5788
Fax Number
651-322-4257
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D11777 (Minnesota)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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