Wittenstrom, John Carlton

Wittenstrom, John Carlton is an individual health care provider with primary practice located at 14990 Glazier Ave Ste 100 , Apple Valley MN 55124-7819. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wittenstrom, John Carlton can be contacted via phone (612) 861-9123.

Contact Information

Primary practice address
14990 Glazier Ave Ste 100 Apple Valley MN 55124-7819
Fax: (612) 861-9155
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D10082 Minnesota

Profile Details

NPI number 1659340503
LBN Legal business name Wittenstrom, John Carlton
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 12th, 2023 - about last year

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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