Eugene Witkin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

009491 Issued in GA

Practice address

1345 Hembree Rd
Roswell, GA 30076-3816

Phone

(770) 777-7427

NPI assigned

Sep 13, 2006

Last updated

Feb 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Enw Dentistry PC Dba

  dba Zoom Dental

  • General Practice Dentistry
  • Riverdale, GA
  • NPI 1134223696
  NPD (past) Authorized official
• Imagix Dental Management Group IV LLC

  dba Imagix IV

  • General Practice Dentistry
  • Roswell, GA
  • NPI 1407027477
  Authorized official Same address or phone

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1619072063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 KINGS ABOTT WAY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300921233",
            "telephone_number": "770-448-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 HEMBREE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763816",
            "telephone_number": "770-777-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKIN",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "009491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000969724A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000969724D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000969724E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000969724F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000969724G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000969724H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Brian Winner, OD
• Mollie Ann Winston, D.D.S.
• Janine Wiskind, OTR/L
• Jared T Wiskind, DC
• Anna English Wisted, CRNA
• Michelle Hudson Wiwi, CRNA
• Carson Wolf, P.T.
• Tessa Trussell Wolf, PSYD
• Casey A Wolfe, DPT
• Nancy E Wolff, MS,PT

• Dentist in Roswell, GA
• Providers in Roswell, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.