Organization
BIRD AND WITTENBERG DENTAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDD B WITTENBERG DDS (OWNER)
(719) 593-0403
Entity
Organization
Contact information
Practice address
7222 COMMERCE CENTER DR, STE 247, COLORADO SPRINGS, CO 80919
(719) 593-0403
(719) 593-0767
Mailing address
7222 COMMERCE CENTER DR, STE 247, COLORADO SPRINGS, CO 80919
(719) 593-0403
(719) 593-0767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5111
CO
1223G0001X
General Practice Dentistry
Primary
6775
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
777871
UNITED CONCORDIA DR W
—
01
—
823010
UNITED CONCORDIA DR BIRD
—
Enumeration date
11/09/2005
Last updated
08/22/2020
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