Eric R Wiitala DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D05388 Issued in AZ

Legal business name

ERIC R WIITALA DDS PLLC

Practice address

9755 North 90TH Street
Suite B250
Scottsdale, AZ 85258-5076

Phone

(480) 657-6981

NPI assigned

Jan 26, 2016

Last updated

Jan 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric R Wiitala, DDSNPI 1972648632

Title

Owner

Phone

(480) 657-6981

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Wiitala

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1972648632
  NPD (past) Authorized official

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1184081804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 NORTH 90TH STREET",
            "address_2": "SUITE B250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585076",
            "telephone_number": "480-657-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 NORTH 90TH STREET",
            "address_2": "SUITE B250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585076",
            "telephone_number": "480-657-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC R WIITALA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "WIITALA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-657-6981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D05388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.