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DR. CHARLES EDWARD WITKOWSKI SR. DDS
NPI 1588634471
Dentist - Oral and Maxillofacial Surgery in Johnson City, TN

Active since January 24, 2006
1021 W OAKLAND AVE, SUITE 109, JOHNSON CITY, TN 37604(423) 283-4555(423) 283-3044 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Charles Edward Witkowski Sr. Dds NPPES

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

DR. CHARLES EDWARD WITKOWSKI SR. DDS (NPI 1588634471) is an individual oral and maxillofacial surgery provider in Johnson City, Tennessee, licensed in Tennessee (DS004426) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1588634471
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CHARLES EDWARD WITKOWSKI SR.Credential: DDS
Location Address1021 W OAKLAND AVE, SUITE 109Johnson City, TN 37604-2191
Mailing AddressPo Box 5549, Suite 109Johnson City, TN 37602 · (423) 283-4555 · Fax (423) 283-3044
Phone(423) 283-4555
Fax(423) 283-3044
Sole ProprietorNo
Enumeration DateJanuary 24, 2006
Last NPPES UpdateMarch 11, 2014
✔ NPI 1588634471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TN · DS004426
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1021 W OAKLAND AVE, Johnson City, TN 37604
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Other Identifiers 2

Medicare ID-Type Unspecified3225406TN
Medicare UPINT74435TN

Other Providers at the Same Location NPPES 11

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

LARRY DAVID HUDSON MD
Dermatology
1021 W OAKLAND AVE, SUITE 102
JOHNSON CITY, TN 37604
Washington County (423) 928-9014
BRITTANY M CANTRELL P.A.
Physician Assistant (Medical)
1021 W OAKLAND AVE, SUITE 301
JOHNSON CITY, TN 37604
Washington County (423) 952-8000
MOUNTAIN STATES HEALTH ALLIANCE
Personal Emergency Response Attendant
1021 W OAKLAND AVE, SUITE 310
JOHNSON CITY, TN 37604
Washington County (423) 952-3732
DOUGLAS EDEMA
Family Medicine
1021 W OAKLAND AVE, SUITE 207
JOHNSON CITY, TN 37604
Washington County (423) 915-5116
JAMES RICHARD RISNEY PA
Dermatology
1021 W OAKLAND AVE, SUITE 102
JOHNSON CITY, TN 37604
Washington County (423) 928-9014
APPALACHIAN EMERGENCY PHYSICIANS
Emergency Medicine
1021 W OAKLAND AVE, SUITE 201
JOHNSON CITY, TN 37604
Washington County (866) 916-5259
DR. AMBREEN ADIL WARSY MD
Family Medicine
1021 W OAKLAND AVE, SUITE 301
JOHNSON CITY, TN 37604
Washington County (423) 952-8000
MISS SAMANTHA MANUEL I NP-C
Nurse Practitioner (Family)
1021 W OAKLAND AVE, SUITE 301
JOHNSON CITY, TN 37604
Washington County (423) 952-8000

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 Charles Witkowski's NPI number?

The NPI number for Charles Witkowski is 1588634471. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Charles Witkowski located?

Charles Witkowski practices at 1021 W Oakland Ave Suite 109, Johnson City, TN 37604. The listed phone number is (423) 283-4555.

What is Charles Witkowski's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Charles Witkowski was last updated on March 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.