| Grant Pitt Dds Pllc | |
|
17840 N Pennsylvania Ave Edmond OK 73012-9097 | |
| (405) 509-2286 | |
| Not Available |
| Full Name | Grant Pitt Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 17840 N Pennsylvania Ave, Edmond, Oklahoma |
| Authorized Official Name and Position | Grant Pitt (OWNER) |
| Authorized Official Contact | 4056413747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Pitt Dds Pllc 2621 Loblolly Ln Edmond OK 73012-1252 Ph: (405) 226-3474 | Grant Pitt Dds Pllc 17840 N Pennsylvania Ave Edmond OK 73012-9097 Ph: (405) 509-2286 |
| NPI Number | 1740870393 |
|---|---|
| Provider Enumeration Date | 01/18/2021 |
| Last Update Date | 01/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740870393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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