Organization · Type 2 NPI
Martin R Pittman DDS MS PC
Oral and Maxillofacial Surgery (Dentist) · Johnson City, TN
NPI number
1104812213
Active
Practice location
111 W Fairview Ave
Johnson City, TN 37604-5632
Fax (429) 929-7811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D52049 (TN) |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Johnson City
About NPI 1104812213
Martin R Pittman DDS MS PC's National Provider Identifier is 1104812213, issued on Sep 23, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Johnson City, TN. The record was last updated on Aug 22, 2020.