# ERIC R WIITALA DDS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184081804
- **Authorized official:** DR. ERIC R WIITALA DDS (OWNER)
- **Authorized official phone:** (480) 657-6981

## Contact information

- **Practice address:** 9755 NORTH 90TH STREET, SUITE B250, SCOTTSDALE, AZ 85258-5076
- **Practice address phone:** (480) 657-6981
- **Mailing address:** 9755 NORTH 90TH STREET, SUITE B250, SCOTTSDALE, AZ 85258-5076
- **Mailing address phone:** (480) 657-6981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D05388 | AZ | Yes |

## Other

- **Enumeration date:** 01/26/2016
- **Last updated:** 01/26/2016