Provider Demographics
NPI:1063372464
Name:KIMBERLY A WINTON DDS PLLC
Entity type:Organization
Organization Name:KIMBERLY A WINTON DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:573-645-5882
Mailing Address - Street 1:8427 16TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-2365
Mailing Address - Country:US
Mailing Address - Phone:573-645-5882
Mailing Address - Fax:
Practice Address - Street 1:4412 SW BRACE POINT DR
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-2641
Practice Address - Country:US
Practice Address - Phone:206-937-4540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty