| Witte Family Dentistry, Llc | |
|
137 E Kings Hwy Shreveport LA 71104-3404 | |
| (318) 869-2535 | |
| (318) 869-2536 |
| Full Name | Witte Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 137 E Kings Hwy, Shreveport, Louisiana |
| Authorized Official Name and Position | Scott Witte (MANAGER) |
| Authorized Official Contact | 3188692535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Witte Family Dentistry, Llc 137 E Kings Hwy Shreveport LA 71104-3404 Ph: (318) 869-2535 | Witte Family Dentistry, Llc 137 E Kings Hwy Shreveport LA 71104-3404 Ph: (318) 869-2535 |
| NPI Number | 1104250364 |
|---|---|
| Provider Enumeration Date | 08/23/2013 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104250364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6338 (Louisiana) | Primary |
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