# JOHN F PITTAWAY DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275257248
- **Authorized official:** DR. JOHN FRITTS PITTAWAY DMD (DENTIST)
- **Authorized official phone:** (808) 373-6200

## Contact information

- **Practice address:** 124 1ST AVE W, KALISPELL, MT 59901-4442
- **Practice address phone:** (406) 755-7117
- **Mailing address:** 124 1ST AVE W, KALISPELL, MT 59901-4442
- **Mailing address phone:** (406) 755-7117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2022
- **Last updated:** 10/03/2022
