Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD BRIAN WITTENBERG, D.D.S.
ActiveDR. RICHARD BRIAN WITTENBERG, D.D.S. is a Periodontology healthcare provider located in COON RAPIDS, Minnesota. NPI 1760596308 is currently active in the NPPES registry. Verify at CMS.
Periodontology · COON RAPIDS, MN
Registration Details
- NPI Number
- 1760596308
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2006 (20.006502782929 yrs)
- Last Updated
- Jul 8, 2007
- License
-
8787 (MN)
Practice Information
- Address
-
13055 RIVERDALE DR NWSUITE 400COON RAPIDS, MN, 554488403Browse MN providers · Browse ZIP 55448
- Phone
- 6122439357
- Fax
- 7633237487
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICK JOSEPH ENNEN | DDS | 1710944988 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.