SEAN L WITTMER DMD PS (NPI# 1649504606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649504606 |
| Entity Type | Organization |
| Organization Name | SEAN L WITTMER DMD PS |
| Practice Address |
10904 Gravelly Lake Dr Sw Tacoma WA 98499-1330 |
| Practice Telephone | 2535893636 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |
| Authorized Official Name | SEAN WITTMER (PRESIDENT) |
| Authorized Official Telephone | 2535893636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
7882 | WA | Dental Providers |
| Street Address |
10904 GRAVELLY LAKE DR SW |
| City | TACOMA |
| State | WA |
| Zip Code | 98499-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407300635 | Watts & Pla Dmd Msd Pllc | Dentist | 2302 S. Union Ave A-1, Tacoma, WA 98405 | 2016-08-04 |
| 1558695056 | S L Wittmer Dmd Ps | Dentist | 12165 Pacific Ave S Ste B, Tacoma, WA 98444-5124 | 2009-09-30 |
| 1255496972 | Ronald Allen Sabins | Dentist | 3866 S 74th St, Suite 200, Tacoma, WA 98409-1045 | 2006-12-22 |
| 1508933953 | Drs West & West Ps | Dentist | 4801 S 19th St, Tacoma, WA 98405-1166 | 2006-11-29 |
| 1013089440 | David Robert Steiner | Dentist | 4050 South 19th Street, Suite 102, Tacoma, WA 98405-1462 | 2006-11-14 |
| 1790713360 | Roy Norman Kaldestad | Dentist | 1550 S Union Ave, Suite #110, Tacoma, WA 98405-1946 | 2006-06-30 |
| 1881692556 | David R Steiner Dds Msd Ps | Dentist | 4050 South 19th St., Suite 102, Tacoma, WA 98405-1462 | 2005-07-07 |
| 1043441686 | John David West | Dentist | 4801 S 19th St, Tacoma, WA 98405-1166 | 2009-07-30 |
| 1568693109 | Jason J West | Dentist | 4801 S 19th St, Tacoma, WA 98405-1166 | 2009-07-30 |
| 1184865370 | Lora Chow | Dentist | 12165 Pacific Ave S, Tacoma, WA 98444-5124 | 2009-03-17 |
| Find all providers in TACOMA | ||||
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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.