Witkin, Eugene

Witkin, Eugene is an individual health care provider with primary practice located at 1345 Hembree Rd , Roswell GA 30076-3816. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Witkin, Eugene can be contacted via phone (770) 777-7427.

Contact Information

Primary practice address
1345 Hembree Rd Roswell GA 30076-3816
Phone: (770) 777-7427
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 009491 Georgia

Profile Details

NPI number 1619072063
LBN Legal business name Witkin, Eugene
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Feb 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619072063 NPPES
Georgia MEDICAID 000969724G
Georgia MEDICAID 000969724H
Georgia MEDICAID 000969724A
Georgia MEDICAID 000969724D
Georgia MEDICAID 000969724F
Georgia MEDICAID 000969724E

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