Individual
DANIEL M PITTMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
103 MEDICAL DR, DOTHAN, AL 36303-6903
(334) 793-7232
(334) 712-7720
Mailing address
103 MEDICAL DR, DOTHAN, AL 36303-6903
(334) 793-7232
(334) 712-7720
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1223P0300X
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5430
STATE OF AL
AL
Enumeration date
06/18/2008
Last updated
06/18/2008
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