Organization
MARTIN R PITTMAN DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN R PITTMAN DDS (PRESIDENT)
(423) 929-8011
Entity
Organization
Contact information
Practice address
111 W FAIRVIEW AVE, JOHNSON CITY, TN 37604-5632
(423) 929-8011
(429) 929-7811
Mailing address
111 W FAIRVIEW AVE, JOHNSON CITY, TN 37604-5632
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D52049
TN
Other
Enumeration date
09/23/2005
Last updated
08/22/2020
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