# JACOB P. WITER D.M.D., P.C.

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

## Provider details

- **NPI number:** 1336626944
- **Authorized official:** DR. JACOB WITER DMD (OWNER)
- **Authorized official phone:** (586) 884-3395

## Contact information

- **Practice address:** 65893 VAN DYKE RD, WASHINGTON TWP, MI 48095-2014
- **Practice address phone:** (586) 281-3266
- **Practice address fax:** (586) 785-3942
- **Mailing address:** 65893 VAN DYKE RD, WASHINGTON TWP, MI 48095-2014
- **Mailing address phone:** (586) 884-3395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2018
- **Last updated:** 04/05/2023