John Carlton Wittenstrom, DDS - Medicare Dentist in Apple Valley, MN

John Carlton Wittenstrom, DDS is a medicare enrolled "Dentist - General Practice" provider in Apple Valley, Minnesota. His current practice location is 14990 Glazier Ave Ste 100, Apple Valley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 861-9123.

John Carlton Wittenstrom is licensed to practice in Minnesota (license number D10082) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659340503.

Contact Information

John Carlton Wittenstrom, DDS
14990 Glazier Ave Ste 100,
Apple Valley, MN 55124-7819
(612) 861-9123
(612) 861-9155



Healthcare Provider's Profile

Full NameJohn Carlton Wittenstrom
GenderMale
SpecialityDentist - General Practice
Location14990 Glazier Ave Ste 100, Apple Valley, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659340503
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 04/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709188360
  • Enrollment ID: I20160113002597

Medical Identifiers

Medical identifiers for John Carlton Wittenstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659340503NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D10082 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Carlton Wittenstrom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John Carlton Wittenstrom, DDS
14990 Glazier Ave Ste 100,
Apple Valley, MN 55124-7819

Ph: (952) 431-5114
John Carlton Wittenstrom, DDS
14990 Glazier Ave Ste 100,
Apple Valley, MN 55124-7819

Ph: (612) 861-9123

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Dentist in Apple Valley, MN

Dr. Mitchell James Rogge, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 8977 Hunters Way, Apple Valley, MN 55124
Phone: 952-900-6086    
Dr. Grant Joseph Schmura, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 15875 Emperor Ave Ste 100, Apple Valley, MN 55124
Phone: 651-463-2300    Fax: 651-463-2118
Dr. Todd Gene Weber, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 14505 Glazier Ave, Apple Valley, MN 55124
Phone: 952-432-1101    
Dr. Anne Yahiro, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7300 147th St W Ste 302, Apple Valley, MN 55124
Phone: 952-432-9155    
Dr. Sarah Ann Welch, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 14990 Glazier Ave, Suite 100, Apple Valley, MN 55124
Phone: 952-431-5114    Fax: 952-431-3576
Dr. Jeffrey James Mathiason, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 14505 Glazier Ave, Apple Valley, MN 55124
Phone: 952-432-1101    
Miss Ellen Denise Jacobson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 14682 Pennock Avenue South, Apple Valley, MN 55124
Phone: 952-431-5774    Fax: 952-431-0862

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