Provider Demographics
NPI:1992930556
Name:DEMBIEC, COURTNEY E (DDS)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:E
Last Name:DEMBIEC
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:COURTNEY
Other - Middle Name:E
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:720 E HIGHWAY 61
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-5300
Mailing Address - Country:US
Mailing Address - Phone:507-452-9453
Mailing Address - Fax:507-452-5420
Practice Address - Street 1:720 E HIGHWAY 61
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-5300
Practice Address - Country:US
Practice Address - Phone:507-452-9453
Practice Address - Fax:507-452-5420
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND126431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice