Martin R Pittman Dds Ms Pc

NPI 1104812213 - Dentist - 1223S0112X

NPI Details
NPI 1104812213
Enumeration Date 09/23/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARTIN R MARTIN
Position PRESIDENT
Phone (423) 929-8011
Fax (429) 929-7811
Practice Location
111 W FAIRVIEW AVE
JOHNSON CITY TN, 37604-5632, US
Phone (423) 929-8011
Fax (429) 929-7811
Business Location
111 W FAIRVIEW AVE
JOHNSON CITY TN, 37604-5632, US
Phone
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Tennessee
License Number D52049
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According to our database, Martin R Pittman Dds Ms Pc NPI is 1104812213, taxonomy code is 1223S0112X and license number is D52049, license state is located at Tennessee. Martin R Pittman Dds Ms Pc physically located at 111 W Fairview Ave, Johnson City TN, 37604-5632. NPI Number 1033115704 has the healthcare provider type.

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1104812213 NPI number is provided on an as is basis without warranty of any kind. 1104812213 is maintained by the National Plan & Provider Enumeration System. The contents of Martin R Pittman Dds Ms Pc are for informational purposes only.