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NPI Code Detail

MEDICARE: JOHN B. WITTE, DDS, PC

MEDICARE: JOHN B. WITTE, DDS, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry13292TX

General Provider Information

NPI Number : 1386899789
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN B. WITTE, DDS, PC
Provider Business Mailing Address
First Line : 3035 MATLOCK RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-2902
Country : US
Telephone Number : 817-784-1000
Fax Number : 817-465-3632
Provider Business Practice Location Address
First Line : 3035 MATLOCK RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-2902
Country : US
Telephone Number : 817-784-1000
Fax Number : 817-465-3632
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. KAREN C WITTE
Credential :
Telephone Number : 817-784-1000
Provider Enumeration Date : 11/26/2008
Last Update Date : 11/26/2008

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Directions to “JOHN B. WITTE, DDS, PC ” Practice Location

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