Wittwer, Ryan C

Wittwer, Ryan C is an individual health care provider with primary practice located at 4420 Town Center Blvd Ste 220 , El Dorado Hills CA 95762-7137. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Wittwer, Ryan C can be contacted via phone (916) 941-1122.

Contact Information

Primary practice address
4420 Town Center Blvd Ste 220 El Dorado Hills CA 95762-7137
Phone: (916) 941-1122
Fax: (916) 941-1149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 22134 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 56989 California

Profile Details

NPI number 1639175748
LBN Legal business name Wittwer, Ryan C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Sep 19th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639175748 NPPES
Texas MEDICAID 1723256-01

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