DR. JOHN RICHARD WITTENBROOK (NPI# 1619192333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619192333 |
| Entity Type | Individual |
| Full Name | DR. JOHN RICHARD WITTENBROOK |
| Credential | DDS |
| Practice Address |
3012 Glenmore Ave Suite 12 Cincinnati OH 45238-2269 |
| Practice Telephone | 5136618509 |
| Mailing Telephone | 5136618509 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30013189 | OH | Dental Providers |
| Street Address |
3012 GLENMORE AVE SUITE 12 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45238-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581371 | Robert M Sander | Dentist | 3012 Glenmore Ave, Suite 107, Cincinnati, OH 45238 | 2005-10-10 |
| 1083274831 | Cari Laws | Case Manager/Care Coordinator | 3012 Glenmore Ave, Cincinnati, OH 45238-2269 | 2019-06-14 |
| 1871152199 | Lauren Bryan | Nurse Practitioner | 3012 Glenmore Ave, Cincinnati, OH 45238-2269 | 2019-06-10 |
| 1396301677 | Heather Bell | Registered Nurse | 3012 Glenmore Ave, Cincinnati, OH 45238-2269 | 2019-05-13 |
| 1225393408 | Richard T. Baudendistel | Dentist | 3012 Glenmore Ave, Suite 12, Cincinnati, OH 45238-2269 | 2012-07-12 |
| 1194914242 | Marcelle Zalzal Bouchard | Dermatology | 3012 Glenmore Ave, Suite 101, Cincinnati, OH 45238-2269 | 2007-10-15 |
| 1174645311 | Raymond M. Ringenbach M.d. | Dermatology | 3012 Glenmore Ave, Suite 307, Cincinnati, OH 45238-2269 | 2007-04-06 |
| 1851440762 | Joel Joseph Esselman | Dentist | 3012 Glenmore Ave, Suite 301, Cincinnati, OH 45238-2269 | 2007-01-09 |
| 1063575637 | Louis Meiners Md | Obstetrics & Gynecology | 3012 Glenmore Ave, Cincinnati, OH 45238-2269 | 2006-12-18 |
| 1619083631 | Lawrence James Hannan | Dentist | 3012 Glenmore Ave, Cincinnati, OH 45238-2269 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
| 1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
| 1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
| 1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
| 1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
| 1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
| 1811335961 | Kelly G Mirus | Specialist/Technologist | 5161 Ralph Ave, Cincinnati, OH 45238 | 2013-06-11 |
| Find all providers in zip 45238 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336758762 | Swati Verma | Dentist | 9850 Colerain Ave, Cincinnati, OH 45251-1470 | 2020-07-31 |
| 1437797792 | Nguyen Dentists of Eastgate, PC, Inc | Dentist | 880 Eastgate North Dr., Suite 101, Cincinnati, OH 45245 | 2019-12-18 |
| 1437792173 | All Smiles Dental Studio of Cincinnati | Dentist | 4530 Eastgate Blvd Ste 620, Cincinnati, OH 45245-1256 | 2019-10-25 |
| 1952958977 | Montgomery Family Dentistry and Wellness Center, LLC | Dentist | 9200 Montgomery Rd Ste 1a, Cincinnati, OH 45242-7730 | 2019-08-23 |
| 1841847860 | Tristate Mobile Dental | Dentist | 9200 Montgomery Rd Unit 1a2a, Cincinnati, OH 45242-7789 | 2019-08-23 |
| 1609437326 | Kristen K Schwieterman | Dentist | 4327 Aicholtz Rd, Cincinnati, OH 45245-1504 | 2019-06-24 |
| 1407416811 | Fatima Khan | Dentist | 3101 Burnet Ave Rm 220, Cincinnati, OH 45229-3014 | 2019-06-18 |
| 1326604604 | Affordable Dentures - Forest Park, William Silvestry Ortiz, Dmd, Inc | Dentist | 1173 Smiley Ave, Cincinnati, OH 45240-1832 | 2019-05-13 |
| 1255994463 | Dentists At Hyde Park Plaza, PC, Inc | Dentist | 3802 Paxton Ave Ste 12a, Cincinnati, OH 45209-2399 | 2019-04-15 |
| 1669936282 | Dentists of Westwood PC, Inc. | Dentist | 6175 Glenway Ave Ste A, Cincinnati, OH 45211-6337 | 2019-01-28 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45238 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.