# GRANT PITT DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pitt on Penn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740870393
- **Authorized official:** GRANT PITT (OWNER)
- **Authorized official phone:** (405) 641-3747

## Contact information

- **Practice address:** 17840 N PENNSYLVANIA AVE, EDMOND, OK 73012-9097
- **Practice address phone:** (405) 509-2286
- **Mailing address:** 2621 LOBLOLLY LN, EDMOND, OK 73012-1252
- **Mailing address phone:** (405) 226-3474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2021
- **Last updated:** 01/18/2021