Provider Demographics
NPI:1871914036
Name:WINDMILLER, EDWARD (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:WINDMILLER
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3731 WALNUT ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-2555
Mailing Address - Country:US
Mailing Address - Phone:717-545-3187
Mailing Address - Fax:
Practice Address - Street 1:3731 WALNUT ST
Practice Address - Street 2:SUITE 1
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-2555
Practice Address - Country:US
Practice Address - Phone:717-545-3187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026544L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics