G.L. Winchell D.D.S., P.S.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00004996 Issued in WA

Legal business name

G.L. WINCHELL D.D.S., P.S.

Practice address

843 12TH Ave
Suite a
Longview, WA 98632-2457

Phone

(360) 577-8880

Fax

(360) 575-9120

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Lynn Winchell, D.D.S.

Title

President

Phone

(360) 577-8880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427171818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 12TH AVE",
            "address_2": "SUITE A",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322457",
            "telephone_number": "360-577-8880",
            "fax_number": "360-575-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 12TH AVE",
            "address_2": "SUITE A",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322457",
            "telephone_number": "360-577-8880",
            "fax_number": "360-575-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.L. WINCHELL D.D.S., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINCHELL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-577-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00004996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jorge Cabrera Gabilondo, M.D.
• Annie Gaddis
• Heather Nicole Gaines
• Rachel A Gaines, SUDP
• Kortney Suanne Gallagher, CPC

• Dental Clinic/Center in Longview, WA
• Providers in Longview, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.