Organization
JOSEPH W PITTMAN DDS MS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WOODBURY PITTMAN DDS (ORTHODONTIST)
(919) 909-5073
Entity
Organization
Contact information
Practice address
609 ATTAIN ST STE 151, FUQUAY VARINA, NC 27526-1983
(919) 909-5073
(919) 863-3924
Mailing address
609 ATTAIN ST STE 151, FUQUAY VARINA, NC 27526-1983
(919) 909-5073
(919) 863-3924
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9784
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295108223
—
NC
Enumeration date
01/26/2018
Last updated
01/26/2018
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