Thomas Jens Witek in Green Bay - Endodontics
Thomas Jens Witek - NPI 1801008818
Thomas Jens Witek is a Endodontics in Green Bay, Wisconsin. Thomas Jens Witek practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Thomas Jens Witek is 1801008818. The last update date is 2007-07-08.
Thomas Jens Witek's current location address is 2581 Development Drive, Green Bay, Wisconsin. You can contact this provider via phone number 9203472600 and fax number 9203472604. The mailing address for Thomas Jens Witek is 2581 Development Drive, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Jens Witek |
|---|---|
| Address | 2581 Development Drive, Green Bay, Wisconsin |
| Phone Number | 9203472600 |
| Fax Number | 9203472604 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1801008818 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2581 Development Drive |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 54311 |
| Phone Number | 9203472600 |
| Fax Number | 9203472604 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 4550 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identification code assigned to Thomas Jens Witek by the Centers for Medicare & Medicaid Services?
The Thomas Jens Witek has been issued the NPI (National Provider Identifier) 1801008818, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Thomas Jens Witek's physical address?
The Thomas Jens Witek is physically located at 2581 Development Drive, in the city of Green Bay, WI, with the postal code 54311.
What is Thomas Jens Witek's area of expertise and its corresponding taxonomy classification?
The Thomas Jens Witek's field of specialization is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Thomas Jens Witek receive its 1801008818 assignment from the Centers for Medicare & Medicaid Services?
The Thomas Jens Witek was assigned its 1801008818 by the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date were the details related to Thomas Jens Witek most recently updated or revised?
The information pertaining to Thomas Jens Witek, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.