Individual
JASON BLAINE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
401 MARTIN LUTHER KING JR BLVD, BRISTOL, TN 37620-3588
(423) 968-4422
(423) 968-3477
Mailing address
401 MARTIN LUTHER KING JR BLVD, BRISTOL, TN 37620-3588
(423) 968-4422
(423) 968-3477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS8239
TN
Other
Enumeration date
12/13/2006
Last updated
06/11/2021
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