Douglas a. Witte, DDS, Ms, Inc.

Periodontics · Tyler, TX

Organization Active NPI

NPI number 1497809099

Practice location

1029 E Idel St
Tyler, TX 75701-2025
Phone
(903) 593-9777
Fax
(903) 593-4110

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NPI record

NPI
1497809099
Entity type
Organization (Type 2)
Enumeration date
January 22, 2007
Last updated
January 21, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 9413 TX

Authorized official

Name
Dr. Douglas Allen Witte, DDS, MS
Title
President
Phone
(903) 593-9777

About Douglas a. Witte, DDS, Ms, Inc.

Douglas a. Witte, DDS, Ms, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 1029 E Idel St, Tyler, TX 75701-2025. The NPI number 1497809099 was assigned on January 22, 2007 and the record was last updated on January 21, 2014.

Douglas a. Witte, DDS, Ms, Inc. lists a license in the registry: #9413 (TX) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Douglas Allen Witte, DDS, MS, President.

Frequently asked questions

What is the NPI number of Douglas a. Witte, DDS, Ms, Inc.?

The NPI number is 1497809099.

What is the phone number of Douglas a. Witte, DDS, Ms, Inc.?

The phone number listed for the practice location is (903) 593-9777.

Where is Douglas a. Witte, DDS, Ms, Inc. located?

1029 E Idel St, Tyler, TX 75701-2025.

What is the taxonomy code for Douglas a. Witte, DDS, Ms, Inc.?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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