Organization
BRAD PITTS DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY REEDER PITTS DMD (DENTIST)
(803) 808-1778
Entity
Organization
Contact information
Practice address
117 OLD CHAPIN RD, LEXINGTON, SC 29072-2005
(803) 808-1778
(803) 808-1821
Mailing address
117 OLD CHAPIN RD, LEXINGTON, SC 29072-2005
(803) 808-1778
(803) 808-1821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3777
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9591
—
SC
Enumeration date
10/22/2007
Last updated
10/22/2007
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