Individual
DR. MICHELLE A WITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1000 ASYLUM AVE, SUITE 3200, HARTFORD, CT 06105-1770
(860) 714-4529
Mailing address
535 TILDEN AVE, TEANECK, NJ 07666-2507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054648
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004011136
—
CT
05
—
03203885
—
NY
Enumeration date
05/29/2008
Last updated
04/21/2015
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