Provider Demographics
NPI:1972635118
Name:WITTRIG, ERIN E (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:E
Last Name:WITTRIG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 N. MADISON AVE.
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142
Mailing Address - Country:US
Mailing Address - Phone:317-887-3180
Mailing Address - Fax:317-882-2718
Practice Address - Street 1:45 N. MADISON AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142
Practice Address - Country:US
Practice Address - Phone:317-887-3180
Practice Address - Fax:317-882-2718
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120092061223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics