DOUGLAS WITTE DDS MS
NPI 1922400290
Dentist - Periodontics in Tyler, TX

Active since September 18, 2014
1029 E IDEL ST, TYLER, TX 75701(903) 593-9777(903) 593-4110 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Dentist
  • Periodontics

About DOUGLAS WITTE

This page provides the complete NPI Profile along with additional information for Douglas Witte, a provider established in Tyler, Texas with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1922400290 assigned on September 2014. The practitioner's primary taxonomy code is 1223P0300X with license number 9413 (TX). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1922400290 Verify this NPI
Provider Name
DOUGLAS WITTE DDS MS
Gender
Male
Entity Type
Individual
Location Address
1029 E IDEL ST TYLER, TX 75701
Location Phone
(903) 593-9777
Location Fax
(903) 593-4110
Mailing Address
1029 E IDEL ST TYLER, TX 75701
Mailing Phone
(903) 593-9777
Mailing Fax
(903) 593-4110
Is Sole Proprietor?
Yes
Enumeration Date
09-18-2014
Last Update Date
09-18-2014
Code Navigator

A dentist like Douglas Witte is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
9413
License State
TX
Taxonomy Description
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.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Periodontics)
1029 E IDEL ST
TYLER, TX 75701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922400290, enumerated as an "individual" on September 18, 2014.

The provider is located at 1029 E IDEL ST TYLER, TX 75701 and the phone number is (903) 593-9777.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.