William J Witkowski, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5206 Issued in CT

Practice address

360 Main St # D
Durham, CT 06422-1644

Phone

(860) 349-1123

Fax

(860) 349-2040

NPI assigned

May 2, 2007

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

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 and National Provider Directory roles.

• Durham Dental Studio, PLLC

  • Dental Clinic/Center
  • Durham, CT
  • NPI 1558101451
  NPD (past)
• Durham Dental, PLLC

  • Dentist
  • Durham, CT
  • NPI 1073090817
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790907772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MAIN ST # D",
            "address_2": "P.O. BOX 177",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064221644",
            "telephone_number": "860-349-1123",
            "fax_number": "860-349-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MAIN ST # D",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064221644",
            "telephone_number": "860-349-1123",
            "fax_number": "860-349-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKOWSKI",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "5206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Van Siclen, M.D.
• Colleen1 Vann
• Vitality Group Inc.
• Bradford W Wilkinson, MD
• Allan A Witkowski, DMD
• Stephen M Wrinn, DC
• Marianne Wudarsky, MD
• David L Zemelsky, LMFT

• Dentist in Durham, CT
• Providers in Durham, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.