SEAN L WITTMER (NPI# 1871670430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871670430 |
| Entity Type | Individual |
| Full Name | SEAN L WITTMER |
| Credential | DMD |
| Practice Address |
10904 Gravelly Lake Dr Sw Lakewood WA 98499-1330 |
| Practice Telephone | 2535893636 |
| Practice Fax Number | 2535893177 |
| Mailing Telephone | 2535893636 |
| Mailing Fax Number | 2535893177 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DE00007882 | WA | Dental Providers |
| Street Address |
10904 GRAVELLY LAKE DR SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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 etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265078042 | Kimberly N. Pham | Dentist | 5830 Bellflower Blvd, Lakewood, CA 90713-1058 | 2019-11-27 |
| 1801990858 | Robert Teitelbaum | Dentist | 6565 W Jewell Ave Ste 2, Lakewood, CO 80232-7102 | 2006-09-11 |
| 1184986184 | Chad Malcolm Reader | Dentist | 255 Union Blvd, Suite 420, Lakewood, CO 80208-1852 | 2012-06-14 |
| 1134359193 | Kevin H Andrus | Dentist | 6565 W Jewell Ave Ste 2, Lakewood, CO 80232-7102 | 2009-07-23 |
| 1154598415 | Rohit Batheja | Dentist | 5555 Del Amo Blvd, Lakewood, CA 90713-2307 | 2008-05-14 |
| 1871700062 | James Edgar Miller IIi | Dentist | 2290 Kipling St, Unit 2, Lakewood, CO 80215-1578 | 2007-05-17 |
| 1073727681 | Hemant Kapadia | Dentist | 5555 Del Amo Blvd, Lakewood, CA 90713-2307 | 2007-05-10 |
| 1265652036 | Scott H Horsley | Dentist | 2290 Kipling St, Unit 2, Lakewood, CO 80215-1578 | 2007-04-26 |
| 1790900728 | Westwood Dental Group PC | Dentist | 3190 S Wadsworth Blvd, Suite 300, Lakewood, CO 80227-4899 | 2007-04-16 |
| 1790897569 | Michael Brian Mckee | Dentist | 550 S Wadsworth Blvd, Ste. 160, Lakewood, CO 80226-3111 | 2006-08-31 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.