Individual
CAROL A. PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4025 E 82ND ST STE 104, INDIANAPOLIS, IN 46250-4749
(317) 913-0480
Mailing address
4025 E 82ND ST STE 104, INDIANAPOLIS, IN 46250-4749
(371) 931-0480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411657
VA
1223G0001X
General Practice Dentistry
Primary
12011106A
IN
Other
Enumeration date
03/27/2007
Last updated
01/08/2024
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