Individual provider · Type 1 NPI
Douglas Witte, DDS MS
Periodontics · Tyler, TX
NPI number
1922400290
Active
Practice location
1029 E Idel St
Tyler, TX 75701-2025
Fax (903) 593-4110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 9413 (TX) |
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.
Another provider at this address
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About NPI 1922400290
Douglas Witte, DDS MS's National Provider Identifier is 1922400290, issued on Sep 18, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tyler, TX. The record was last updated on Sep 18, 2014.