Provider Demographics
NPI:1477652055
Name:PITTNER, JAMES ERNEST (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ERNEST
Last Name:PITTNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10675 E NORTHWEST HWY
Mailing Address - Street 2:SUITE 1645
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-4843
Mailing Address - Country:US
Mailing Address - Phone:214-342-2888
Mailing Address - Fax:214-342-0760
Practice Address - Street 1:10675 E NORTHWEST HWY
Practice Address - Street 2:SUITE 1645
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-4843
Practice Address - Country:US
Practice Address - Phone:214-342-2888
Practice Address - Fax:214-342-0760
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice