Individual
DR. MARK ALEXANDER PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6550 MERCANTILE DR E, SUITE 101, FREDERICK, MD 21703-7547
(301) 698-5208
(301) 698-1848
Mailing address
2000 DIXON RD, FREDERICK, MD 21704-8137
(301) 874-1855
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11347
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
760431
UNITED CONCORDIA
MD
Enumeration date
07/19/2006
Last updated
07/08/2007
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