DR. BRUCE ROBERT WITTENBERG D.D.S.
NPI 1467429753
Dentist in Brooklyn Center, MN

Q: What is Bruce Wittenberg's NPI number?

The NPI number for Bruce Wittenberg is 1467429753. It was assigned to this individual provider in the NPPES registry on March 5, 2006.

Q: What is Bruce Wittenberg's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Wittenberg was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 05, 2006PECOS Enrolled

512 66TH AVE N, BROOKLYN CENTER, MN 55430(763) 560-3334 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bruce Robert Wittenberg D.d.s. NPPES

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

DR. BRUCE ROBERT WITTENBERG D.D.S. (NPI 1467429753) is an individual dentist in Brooklyn Center, Minnesota, licensed in Minnesota (9625) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467429753

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BRUCE ROBERT WITTENBERGCredential: D.D.S.

Location Address512 66TH AVE NBrooklyn Center, MN 55430-1643

Mailing AddressPo Box 23029Richfield, MN 55423-0029 · (612) 861-9123 · Fax (612) 861-9155

Phone(763) 560-3334

Sole ProprietorNo

Enumeration DateMarch 5, 2006

Last NPPES UpdateMarch 25, 2015

✔ NPI 1467429753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · 9625

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

512 66TH AVE N, Brooklyn Center, MN 55430

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bruce Robert Wittenberg D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR. THAO DO DDS

Dentist (General Practice)