Provider Demographics
NPI:1932943487
Name:WINTERHALTER, LAUREN BRYANNA (DDS)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:BRYANNA
Last Name:WINTERHALTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18091 CLIFTON RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-1022
Mailing Address - Country:US
Mailing Address - Phone:216-338-5621
Mailing Address - Fax:
Practice Address - Street 1:8481 VIRGINIA DR
Practice Address - Street 2:
Practice Address - City:WESTFIELD CENTER
Practice Address - State:OH
Practice Address - Zip Code:44251-9761
Practice Address - Country:US
Practice Address - Phone:330-887-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0275391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice