Witte Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6338 Issued in LA

Legal business name

WITTE FAMILY DENTISTRY, LLC

Practice address

137 E Kings Hwy
Shreveport, LA 71104-3404

Phone

(318) 869-2535

Fax

(318) 869-2536

NPI assigned

Aug 23, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Witte, DDS

Title

Manager

Phone

(318) 869-2535

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1104250364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 E KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043404",
            "telephone_number": "318-869-2535",
            "fax_number": "318-869-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043404",
            "telephone_number": "318-869-2535",
            "fax_number": "318-869-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITTE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "WITTE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-869-2535",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R. Wise, MD
• Benjamin R. Wisenbaker, CRNA
• Morgan S. Wisenbaker
• Connor Wisniewski-Top, PT, DPT
• Shila Withers
• Savanna Taelor Witthoeft
• WK Academic Medicine Clinic
• WK Adult Medicine Specialists
• WK Advanced Cardiac Imaging
• WK Advanced Laparoscopic and Robotic Surgery Specialists

• General Practice Dentistry in Shreveport, LA
• Providers in Shreveport, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.