IndividualActive
Richard Wittenberg, D.D.S.
NPI 1760596308 · Periodontics · Coon Rapids, MN
Provider details
- NPI number
- 1760596308
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 8787 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
13055 Riverdale Dr Nw
Suite 400
Coon Rapids, MN 55448-8403
Phone: (612) 243-9357
Fax: (763) 323-7487
Street-level locationGet directions
Mailing address
3880 Zircon Ln N
Plymouth, MN 55446-2837
Registry dates
- Enumerated
- 2006-08-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.