Individual provider · Type 1 NPI
Richard Brian Wittenberg, DDS
Periodontics · Coon Rapids, MN
NPI number
1760596308
Active
Practice location
13055 Riverdale Dr NW, Suite 400
Coon Rapids, MN 55448-8403
Fax (763) 323-7487
Mailing address
3880 Zircon Ln N
Plymouth, MN 55446-2837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 8787 (MN) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Coon Rapids
About NPI 1760596308
Richard Brian Wittenberg, DDS's National Provider Identifier is 1760596308, issued on Aug 19, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Coon Rapids, MN. The record was last updated on Jul 8, 2007.