Witte, John Brian
Witte, John Brian is an sole proprietor health care provider with primary practice located at 3035 Matlock Rd , Arlington TX 76015-2902. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Witte, John Brian can be contacted via phone (817) 784-1000.Contact Information
Primary practice address
3035 Matlock Rd
Arlington TX 76015-2902
Phone: (817) 784-1000
Fax: (817) 465-3632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 13292 | Texas |
Profile Details
| NPI number | 1629125489 |
|---|---|
| LBN Legal business name | Witte, John Brian |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629125489 | NPPES |
| Texas | Other | D13292 | BLUE CROSS |
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