Provider Demographics
NPI:1154369874
Name:WINIKOR, ISRAEL (DMD)
Entity type:Individual
Prefix:DR
First Name:ISRAEL
Middle Name:
Last Name:WINIKOR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6424 NW 85TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32653-2962
Mailing Address - Country:US
Mailing Address - Phone:352-373-8930
Mailing Address - Fax:
Practice Address - Street 1:5502 NW 43RD ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32653-3301
Practice Address - Country:US
Practice Address - Phone:352-376-3313
Practice Address - Fax:352-376-3314
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0010996122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist