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.
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