Scott Alan Winkle, DDS
Individual provider Active NPI General Practice Dentistry · Kasson, MN
NPI 1356429641 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356429641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D10603 (MN)
- Practice address
- 305 W Main St
Kasson, MN 55944 - Phone
- (507) 634-6421
- Fax
- (507) 634-2461
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120123000096 | MN | Order and Referring Only - Dentist |
3375710916 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10603 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kasson Dental Clinic LTD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D10603 | MN | Yes |
Addresses
Primary practice location
305 W Main St
Kasson, MN 55944
Mailing address
305 W Main St
Kasson, MN 55944
Phone (507) 634-6421
Other providers in Kasson, MN
- Kendra Stenzel
- Joan Colleen Ward
- Whitmarsh Health and Wellness, LLC
- Wholesome Empowerment Lactation Services, LLC
- Willow Midwives LTD
- Libby Ann Wyborny
- Zimmer Chiropractic PA
- Neil Jerome Zimmer
All providers in Kasson, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.