Individual
DR. JASON KILLIAN WITTENMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1540 CHADWICK WAY, TALLAHASSEE, FL 32312-3774
(850) 617-9155
Mailing address
1540 CHADWICK WAY, TALLAHASSEE, FL 32312-3774
(502) 617-9155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8022
KY
1223G0001X
General Practice Dentistry
Primary
DCT5
FL
Other
Enumeration date
04/05/2011
Last updated
12/08/2025
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