Organization
GRANT PITT DDS PLLC
Active
Other names
Pitt on Penn
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT PITT (OWNER)
(405) 641-3747
Entity
Organization
Contact information
Practice address
17840 N PENNSYLVANIA AVE, EDMOND, OK 73012-9097
(405) 509-2286
Mailing address
2621 LOBLOLLY LN, EDMOND, OK 73012-1252
(405) 226-3474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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