Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason Killian Wittenmyer, DMD

Individual provider General Practice Dentistry · NPI 1205125796

Dr. Jason Killian Wittenmyer, DMD is a General Practice Dentistry in Tallahassee, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and Kentucky.

Licensed in
FL, KY
In the registry since
2011
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1540 Chadwick Way
Tallahassee, FL 32312-3774
Phone: (850) 617-9155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 Melaleuca Dr, Crawfordville, FL 32327-4963 — (850) 617-9155

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DCT5 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 8022 (KY)

Record details

NPI number1205125796
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 5, 2011
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

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