MEDICARE: LAUREN WITTE DDS, MS

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	D1509	SD

General Provider Information

NPI Number	:	1447116389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN WITTE DDS, MS

Provider Business Mailing Address
First Line	:	2407 W 57TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-5026
Country	:	US
Telephone Number	:	605-335-6680
Fax Number	:	605-335-8342

Provider Business Practice Location Address
First Line	:	2407 W 57TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-5026
Country	:	US
Telephone Number	:	605-335-6680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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