Witte, Douglas

Witte, Douglas is an sole proprietor health care provider with primary practice located at 1029 E Idel St , Tyler TX 75701-2025. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Witte, Douglas can be contacted via phone (903) 593-9777.

Contact Information

Primary practice address
1029 E Idel St Tyler TX 75701-2025
Fax: (903) 593-4110
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 9413 Texas

Profile Details

NPI number 1922400290
LBN Legal business name Witte, Douglas
Credentials DDS MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2014
Last updated Sep 18th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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