DR. RICHARD BRIAN WITTENBERG D.D.S.
NPI 1760596308
Dentist - Periodontics in Coon Rapids, MN

Q: What is Richard Wittenberg's NPI number?

The NPI number for Richard Wittenberg is 1760596308. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Q: What is Richard Wittenberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since August 19, 2006

13055 RIVERDALE DR NW, SUITE 400, COON RAPIDS, MN 55448(612) 243-9357(763) 323-7487 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Richard Brian Wittenberg D.d.s. NPPES

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

DR. RICHARD BRIAN WITTENBERG D.D.S. (NPI 1760596308) is an individual periodontics provider in Coon Rapids, Minnesota, licensed in Minnesota (8787) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1760596308

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. RICHARD BRIAN WITTENBERGCredential: D.D.S.

Location Address13055 RIVERDALE DR NW, SUITE 400Coon Rapids, MN 55448-8403

Mailing Address3880 Zircon Ln NPlymouth, MN 55446-2837 · (763) 478-8554

Phone(612) 243-9357

Fax(763) 323-7487

Sole ProprietorNo

Enumeration DateAugust 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1760596308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MN · 8787

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

13055 RIVERDALE DR NW, Coon Rapids, MN 55448

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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 Richard Wittenberg's NPI number?

The NPI number for Richard Wittenberg is 1760596308. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Richard Wittenberg located?

Richard Wittenberg practices at 13055 Riverdale Dr NW Suite 400, Coon Rapids, MN 55448. The listed phone number is (612) 243-9357.

What is Richard Wittenberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Richard Wittenberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.