| Brad Pitts Dmd Llc | |
|
117 Old Chapin Rd Lexington SC 29072-2005 | |
| (803) 808-1778 | |
| (803) 808-1821 |
| Full Name | Brad Pitts Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 117 Old Chapin Rd, Lexington, South Carolina |
| Authorized Official Name and Position | Bradley Reeder Pitts (DENTIST) |
| Authorized Official Contact | 8038081778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Pitts Dmd Llc 117 Old Chapin Rd Lexington SC 29072-2005 Ph: (803) 808-1778 | Brad Pitts Dmd Llc 117 Old Chapin Rd Lexington SC 29072-2005 Ph: (803) 808-1778 |
| NPI Number | 1811186240 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811186240 | NPI | - | NPPES |
| ZA9591 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3777 (South Carolina) | Primary |
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