Kenneth G. Witt JR., D.M.D.
NPI #1700903218 in Old Hickory, Tennessee
Provider Information
- NPI Number
- 1700903218
- Entity Type
- Individual
- Name
- Kenneth G. Witt JR., D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 14625 LEBANON RD
- Address 2
- SUITE A
- City
- Old Hickory
- State
- Tennessee
- ZIP Code
- 37138-4620
- Phone
- (615) 754-0406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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