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DEWITT FAMILY DENTISTRY P.C.
NPI 1104987833
Dentist - General Practice in De Witt, IA

Active since December 13, 2006
923 6TH AVE, DE WITT, IA 52742(563) 659-9500 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dewitt Family Dentistry P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEWITT FAMILY DENTISTRY P.C. (NPI 1104987833) is a healthcare organization registered as a general practice in De Witt, Iowa and active in the NPI registry since December 2006. The organization lists Traci Paulsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1104987833
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDEWITT FAMILY DENTISTRY P.C.
Location Address923 6TH AVEDe Witt, IA 52742-1330
Mailing Address923 6th AveDe Witt, IA 52742-1330 · (563) 659-9500
Phone(563) 659-9500
Organization SubpartNo
Authorized OfficialTraci PaulsenOwner · (563) 659-9500
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 22, 2008
✔ NPI 1104987833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IA · 08332✔ Licensed in IA · 07800✔ Licensed in IA · 06566
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
923 6TH AVE, De Witt, IA 52742
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Other Identifiers 3

Medicaid0473173IA
Medicaid0264440IA
Medicaid0911644IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RANDALL A. HUNT D.D.S.
Dentist (General Practice)
923 6TH AVE
DE WITT, IA 52742
Clinton County (563) 659-9500
DR. SARAH J. MATKOVICH D.D.S.
Dentist (General Practice)
923 6TH AVE
DE WITT, IA 52742
Clinton County (563) 659-9500
DR. LAUREN DAUFELDT DDS
Dentist
923 6TH AVE
DE WITT, IA 52742
Clinton County (563) 659-9500
DR. TRACI PAULSEN D.D.S.
Dentist (General Practice)
923 6TH AVE
DE WITT, IA 52742
Clinton County (563) 659-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dewitt Family Dentistry P.C.'s NPI number?

The NPI number for Dewitt Family Dentistry P.C. is 1104987833. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Dewitt Family Dentistry P.C. located?

Dewitt Family Dentistry P.C. is located at 923 6th Ave, De Witt, IA 52742. The listed phone number is (563) 659-9500.

What is Dewitt Family Dentistry P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dewitt Family Dentistry P.C. was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.