Martin R Pittman Dds Ms Pc in Johnson City - Oral And Maxillofacial Surgery
Martin R Pittman Dds Ms Pc - NPI 1104812213
Martin R Pittman Dds Ms Pc is a Oral And Maxillofacial Surgery in Johnson City, Tennessee. Martin R Pittman Dds Ms Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Martin R Pittman Dds Ms Pc is 1104812213. The last update date is 2020-08-22.
Martin R Pittman Dds Ms Pc's current location address is 111 W Fairview Ave, Johnson City, Tennessee. You can contact this provider via phone number 4239298011 and fax number 4299297811. The mailing address for Martin R Pittman Dds Ms Pc is 111 W Fairview Ave, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Martin R Pittman Dds Ms Pc |
|---|---|
| Address | 111 W Fairview Ave, Johnson City, Tennessee |
| Phone Number | 4239298011 |
| Fax Number | 4299297811 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pittman R Martin |
| Credentials | DDS |
| Telephone Number | 4239298011 |
NPI Number Detail
| NPI Number | 1104812213 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 111 W Fairview Ave |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376045632 |
| Phone Number | 4239298011 |
| Fax Number | 4299297811 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D52049 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the Martin R Pittman Dds Ms Pc's 1104812213?
The Martin R Pittman Dds Ms Pc's NPI (National Provider Identifier) Number is 1104812213. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Martin R Pittman Dds Ms Pc?
The Martin R Pittman Dds Ms Pc is situated at 111 W Fairview Ave, in the city of Johnson City, state of TN, with the zip code 376045632.
What is Martin R Pittman Dds Ms Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Martin R Pittman Dds Ms Pc's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104812213 to Martin R Pittman Dds Ms Pc?
The Martin R Pittman Dds Ms Pc received its 1104812213 assignment from the Centers for Medicare & Medicaid Services on 2005-09-23.
When was the information regarding Martin R Pittman Dds Ms Pc most recently updated?
The details pertaining to the Martin R Pittman Dds Ms Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.