John Carlton Wittenstrom, DDS

General Practice Dentistry · Apple Valley, MN

Individual Active NPI

NPI number 1659340503

Practice location

14990 Glazier Ave Ste 100
Apple Valley, MN 55124-7819
Phone
(612) 861-9123
Fax
(612) 861-9155

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NPI record

NPI
1659340503
Entity type
Individual (Type 1)
Enumeration date
March 14, 2006
Last updated
April 12, 2023
Certified
April 12, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D10082 MN

About Dr. Wittenstrom

John Carlton Wittenstrom, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 14990 Glazier Ave Ste 100, Apple Valley, MN 55124-7819. The NPI number 1659340503 was assigned on March 14, 2006 and the record was last updated on April 12, 2023.

Dr. Wittenstrom lists a license in the registry: #D10082 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Carlton Wittenstrom, DDS?

The NPI number is 1659340503.

What is the phone number of Dr. Wittenstrom?

The phone number listed for the practice location is (612) 861-9123.

Where is Dr. Wittenstrom located?

14990 Glazier Ave Ste 100, Apple Valley, MN 55124-7819.

What is the taxonomy code for Dr. Wittenstrom?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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