MEDICARE: DR. DARREN ALAN WITTENBERGER DDS

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	2001014955	MO

General Provider Information

NPI Number	:	1962511030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARREN ALAN WITTENBERGER DDS

Provider Business Mailing Address
First Line	:	201 W BROADWAY STE 3I
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-3842
Country	:	US
Telephone Number	:	573-449-7633
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W BROADWAY STE 3I
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-3842
Country	:	US
Telephone Number	:	573-449-7633
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	09/19/2007

Similar Medicare Providers

1104771062 — PETER CLAYTON LAMEAR PLPC
Practice Location Address:

201 W BROADWAY STE 2F
COLUMBIA, MO
65203-3842

Practice Phone: 573-214-0436
Practice Fax:

1528049509 — HENRY KELL YANG MD
Practice Location Address:

201 W BROADWAY , BLDG 4
COLUMBIA, MO
65203-3842

Practice Phone: 573-441-7070
Practice Fax: 573-441-2288

1255389037 — MYRIAM CRISTINA YAFAR ENSLING MD
Practice Location Address:

201 W BROADWAY , BUILDING 2 STE. A
COLUMBIA, MO
65203-3842

Practice Phone: 573-442-2083
Practice Fax:

1952348690 — ROBERT L BYNUM DO
Practice Location Address:

201 W BROADWAY STE B
COLUMBIA, MO
65203-3842

Practice Phone: 573-443-0075
Practice Fax:

1851409460 — DR. FRANCIS J. OTRADOVEC DDS
Practice Location Address:

201 W BROADWAY , BLDG 5
COLUMBIA, MO
65203-3842

Practice Phone: 573-443-0593
Practice Fax:

1417067554 — H. ELAINE CHEONG, D.D.S., L.L.C.
Practice Location Address:

201 W BROADWAY , BUILDING 2, SUITE A
COLUMBIA, MO
65203-3842

Practice Phone: 573-499-0300
Practice Fax: 573-499-9088

Directions to “ DR. DARREN ALAN WITTENBERGER DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.