John Brian Witte in Arlington - Pediatric Dentistry
John Brian Witte - NPI 1629125489
John Brian Witte is a Pediatric Dentistry in Arlington, Texas. John Brian Witte practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for John Brian Witte is 1629125489. The last update date is 2007-07-08.
John Brian Witte's current location address is 3035 Matlock Rd, Arlington, Texas. You can contact this provider via phone number 8177841000 and fax number 8174653632. The mailing address for John Brian Witte is 3035 Matlock Rd, Arlington, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Brian Witte |
---|---|
Address | 3035 Matlock Rd, Arlington, Texas |
Phone Number | 8177841000 |
Fax Number | 8174653632 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1629125489 |
---|---|
Provider Enumeration Date | 2007-01-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3035 Matlock Rd |
---|---|
City | Arlington |
State | Texas (TX) |
Post Code | 760152902 |
Phone Number | 8177841000 |
Fax Number | 8174653632 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
---|---|
Taxonomy | 1223P0221X |
Licence No | 13292 |
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
D13292 | TX | BLUE CROSS |
Post Comment/ Review Below
What is the unique provider identifier assigned to John Brian Witte?
The John Brian Witte has been issued the NPI (National Provider Identifier) 1629125489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the John Brian Witte's physical address?
The John Brian Witte is physically located at 3035 Matlock Rd, in the city of Arlington, TX, with the postal code 760152902.
What is John Brian Witte's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Brian Witte is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the John Brian Witte receive its 1629125489 assignment from the Centers for Medicare & Medicaid Services?
The John Brian Witte was assigned its 1629125489 by the Centers for Medicare & Medicaid Services on 2007-01-04.
As of what date were the details related to John Brian Witte most recently updated or revised?
The information pertaining to John Brian Witte, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1679576573
Address: 1400 S Braddock Ave, Pittsburgh, PA
NPI Number: 1700880325
Address: 10011 Euclid Avenue, Cleveland, OH
NPI Number: 1124025705
Address: 452 Delaware Ave, Buffalo, NY