Provider Demographics
NPI:1356029680
Name:NA, WINSTON OSCAR (DDS)
Entity type:Individual
Prefix:
First Name:WINSTON
Middle Name:OSCAR
Last Name:NA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ALLEN ST UNIT 6J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5382
Mailing Address - Country:US
Mailing Address - Phone:212-226-3250
Mailing Address - Fax:
Practice Address - Street 1:2 ALLEN ST UNIT 6J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5382
Practice Address - Country:US
Practice Address - Phone:212-226-3250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064967-011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice