Individual
DR. JON EDWARD PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
222 E FIRST ST, ABERDEEN, WA 98520-5218
(360) 533-0906
(360) 532-8516
Mailing address
222 E FIRST ST, ABERDEEN, WA 98520-5218
(360) 533-0906
(360) 532-8516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3847
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5002977
DEPT OF SOCIAL HEALTH
WA
Enumeration date
08/11/2006
Last updated
07/08/2007
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