Organization
LANCE M. PITTMAN, DDS, MS, INC.
Active
Other names
Pittman Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE PITTMAN DDS, MS (ORTHODONTIST/PRESIDENT)
(304) 596-0425
Entity
Organization
Contact information
Practice address
1004 SUSHRUTA DR, SUITE B, MARTINSBURG, WV 25401-8802
(304) 596-0425
(304) 596-8018
Mailing address
1004 SUSHRUTA DR, SUITE B, MARTINSBURG, WV 25401-8802
(304) 596-0425
(304) 596-8018
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3950
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15031005
—
WV
Enumeration date
02/23/2015
Last updated
02/23/2015
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