| Joseph W Pittman Dds Ms Pa | |
|
609 Attain St Ste 151 Fuquay Varina NC 27526-1983 | |
| (919) 909-5073 | |
| (919) 863-3924 |
| Full Name | Joseph W Pittman Dds Ms Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 609 Attain St Ste 151, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Joseph Woodbury Pittman (ORTHODONTIST) |
| Authorized Official Contact | 9199095073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph W Pittman Dds Ms Pa 609 Attain St Ste 151 Fuquay Varina NC 27526-1983 Ph: (919) 909-5073 | Joseph W Pittman Dds Ms Pa 609 Attain St Ste 151 Fuquay Varina NC 27526-1983 Ph: (919) 909-5073 |
| NPI Number | 1336647122 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 01/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336647122 | NPI | - | NPPES |
| 1295108223 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 9784 (North Carolina) | Primary |
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