Winslow DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WINSLOW DDS INC.

Doing business as

The Grove Family Dental

Practice address

10043 Bruceville Road
Unit 160
Elk Grove, CA 95757

Phone

(916) 515-1000

NPI assigned

Oct 25, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeron Phillip Winslow, DDS

Title

Owner

Phone

(916) 515-1000

Specialties & licenses 1

Addresses

Other names 1

• The Grove Family Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1386287027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 TRUXEL RD STE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343726",
            "telephone_number": "916-515-1000",
            "fax_number": "916-515-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10043 BRUCEVILLE ROAD",
            "address_2": "UNIT 160",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95757",
            "telephone_number": "916-515-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "WINSLOW",
        "authorized_official_first_name": "JERON",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-515-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grove Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anaiya Wilson
• Danette J. S. Wilson
• Deja Wilson
• Jasmine Nicole Wimberly
• Johan Winoto, M.D.
• Richard D Winter, DDS
• Winterfest Medical Services Corporation
• Marcy Ellen Wintermute
• Lauren Elizabeth Winters
• WMS LLC

• Dental Clinic/Center in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.