Provider Demographics
NPI:1417686601
Name:PITTS, TYRESHA (DDS)
Entity Type:Individual
Prefix:DR
First Name:TYRESHA
Middle Name:
Last Name:PITTS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 HUNTERS MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-2435
Mailing Address - Country:US
Mailing Address - Phone:615-988-1042
Mailing Address - Fax:
Practice Address - Street 1:2641 8TH AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2483
Practice Address - Country:US
Practice Address - Phone:615-988-1042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN121441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice