IndividualActive
Charles Witkowski, DDS
NPI 1588634471 · Oral and Maxillofacial Surgery (Dentist) · Johnson City, TN
Provider details
- NPI number
- 1588634471
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DS004426 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1021 W Oakland Ave
Suite 109
Johnson City, TN 37604-2191
Phone: (423) 283-4555
Fax: (423) 283-3044
Street-level locationGet directions
Mailing address
Po Box 5549
Johnson City, TN 37602
Registry dates
- Enumerated
- 2006-01-24
- Last updated
- 2014-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.