Individual
DR. CASEY DANIELLE WITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
704 N MAIN ST, NICHOLASVILLE, KY 40356-2589
(859) 881-4633
(859) 885-2663
Mailing address
704 N MAIN ST, NICHOLASVILLE, KY 40356-2589
(859) 881-4633
(859) 885-2663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8749
KY
Other
Enumeration date
08/10/2009
Last updated
12/29/2011
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