Creating Smiles Dental Office

Primary specialty

DentistTaxonomy code 122300000X

License

34443 Issued in CA

Legal business name

CREATING SMILES DENTAL OFFICE

Practice address

31940 Temecula Pkwy Ste C-2
Temecula, CA 92592-9498

Phone

(951) 302-9800

Fax

(951) 302-6012

NPI assigned

Feb 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Witek, DDS

Title

President

Phone

(951) 302-9800

Specialties & licenses 1

Addresses

Other names 1

• Robert A. Witek, DDS,Inc. Former legal business name

Locations

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1700025178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31940 TEMECULA PKWY STE C-2",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925929498",
            "telephone_number": "951-302-9800",
            "fax_number": "951-302-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31940 TEMECULA PKWY STE C-2",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925929498",
            "telephone_number": "951-302-9800",
            "fax_number": "951-302-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING SMILES DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "WITEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-302-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "34443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert A. Witek, DDS,Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dentist in Temecula, CA
• Providers in Temecula, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.