DOUGLAS WITTE (NPI# 1922400290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922400290 |
| Entity Type | Individual |
| Full Name | DOUGLAS WITTE |
| Credential | DDS MS |
| Practice Address |
1029 E Idel St Tyler TX 75701-2025 |
| Practice Telephone | 9035939777 |
| Practice Fax Number | 9035934110 |
| Mailing Telephone | 9035939777 |
| Mailing Fax Number | 9035934110 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
9413 | TX | Dental Providers |
| Street Address |
1029 E IDEL ST |
| City | TYLER |
| State | TX |
| Zip Code | 75701-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497809099 | Douglas A. Witte, Dds, Ms, Inc. | Dentist | 1029 E Idel St, Tyler, TX 75701-2025 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639650245 | Angel Emmanuel Rodriguez | Dentist | 8938 S Broadway Ave Ste 480, Tyler, TX 75703-5733 | 2018-08-22 |
| 1396009148 | Kayleigh Eaves Temple | Dentist | 3805 Brookside Drive, Tyler, TX 75701 | 2012-06-26 |
| 1497809099 | Douglas A. Witte, Dds, Ms, Inc. | Dentist | 1029 E Idel St, Tyler, TX 75701-2025 | 2007-01-22 |
| 1922005503 | John E. Adcock | Dentist | 3805 Brookside Dr, Tyler, TX 75701-9421 | 2005-06-28 |
| 1619331634 | Tyler Periodontics, Pllc | Dentist | 3805 Brookside Dr, Tyler, TX 75701-9421 | 2016-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
| 1487263653 | Julia Ann Shelbourn | Dentist | 8210 Floyd Curl Dr # 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1386253664 | Kara Dunegan | Dentist | 8210 Floyd Curl Dr Msc 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1093323362 | Ace Dental10, Pllc | Dentist | 901 N Ih-35, Suite 111, Bellmead, TX 76705 | 2020-07-22 |
| 1326669193 | Bellaire Periocosmetic Dental Pllc | Dentist | 9889 Bellaire Blvd Ste 322, Houston, TX 77036-3468 | 2020-05-02 |
| 1447884341 | Kagayaki Corp. | Dentist | 3535 Victory Group Way Ste 101, Frisco, TX 75034-6719 | 2020-02-28 |
| 1225660046 | Ezzy Oms Pllc | Dentist | 11620 Louetta Rd Ste B, Houston, TX 77070-1282 | 2020-02-10 |
| 1912538984 | Michelle Marie Torres Santos | Dentist | 6123 79th St # 100, Lubbock, TX 79424-8708 | 2020-01-29 |
| 1225668429 | Rachel Dai, Pllc | Dentist | 20423 Kuykendahl Rd Ste 600, Spring, TX 77379-3493 | 2020-01-16 |
| 1003456716 | Samer A Faraj Dds Ms Pllc | Dentist | 23762 Us 59 Ste A, Porter, TX 77365 | 2020-01-10 |
| Find all providers with the same taxonomy | ||||
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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.