Elsa Marie Wittbold in Ormond Beach - Dentist

Elsa Marie Wittbold - NPI 1851598593

Elsa Marie Wittbold is a Dentist in Ormond Beach, Florida. Elsa Marie Wittbold practices all healthcare services and medical treatments related to Dentist. The NPI Number for Elsa Marie Wittbold is 1851598593. The last update date is 2011-11-15.

Elsa Marie Wittbold's current location address is 555 W Granada Blvd, Ormond Beach, Florida. You can contact this provider via phone number 3866756769 and fax number 3866576770. The mailing address for Elsa Marie Wittbold is 555 W Granada Blvd, Ormond Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Elsa Marie Wittbold
Address 555 W Granada Blvd, Ormond Beach, Florida
Phone Number 3866756769
Fax Number 3866576770
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1851598593
Provider Enumeration Date 2007-06-27
Last Updated Date 2011-11-15

Provider Mailing Address Detail

Address 555 W Granada Blvd
City Ormond Beach
State Florida (FL)
Post Code 321749485
Phone Number 3866756769
Fax Number 3866576770

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DN 18198
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DT-1511 HI DENTTAL LICENSE
DN18198 FL DENTAL LICENSE

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FAQs about Elsa Marie Wittbold

What is the unique 10-digit identifier code issued to Elsa Marie Wittbold by the Centers for Medicare & Medicaid Services?

The Elsa Marie Wittbold has been assigned the NPI (National Provider Identifier) 1851598593 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Elsa Marie Wittbold's physical address?

The Elsa Marie Wittbold is physically located at 555 W Granada Blvd, in the city of Ormond Beach, FL, with the postal code 321749485.

What is Elsa Marie Wittbold's area of expertise and its corresponding taxonomy classification?

The Elsa Marie Wittbold's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1851598593 to Elsa Marie Wittbold?

The Centers for Medicare & Medicaid Services assigned the 1851598593 to Elsa Marie Wittbold on 2007-06-27.

When was the information regarding Elsa Marie Wittbold, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Elsa Marie Wittbold, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-15.

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