| Organization Name: | THE WINNING SMILE |
| NPI Number: | 1346367554 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH BERGER (DENTIST) |
| Mailing Address: | 176 N Village Ave Suite 2f Rockville Centre |
| State: | NY US |
| Postal Code: | 115703800 |
| Phone Number: | 5165943300 |
| Fax Number: | 5165941288 |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 040617-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |