David Lee Witt, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN015257 Issued in GA

Practice address

1630 Pleasant Hill Rd Ste 200
Duluth, GA 30096-5828

Phone

(770) 381-7878

NPI assigned

Aug 12, 2016

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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1629522271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EXECUTIVE PARK DR NE APT 2111",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292268",
            "telephone_number": "270-519-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 PLEASANT HILL RD STE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965828",
            "telephone_number": "770-381-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M Wilson, PHARMD, BCOP
• Teshara Patrice Wilson
• Quadiyyah Winston
• Princess Samarra Wise, APRN, FNP-BC
• Tasha Wisehart, M.S. CCC
• Michael Driscoll Witter, DPT
• Alan Edward Wolkow, DC
• Kendall Marie Wolz, LPC
• Aundreauna Womack
• Gail Womack, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.