Provider Demographics
NPI:1629085386
Name:BITTNER, KARIN JOAN (DMD)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:JOAN
Last Name:BITTNER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11743 FRANKSTOWN ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3442
Mailing Address - Country:US
Mailing Address - Phone:412-242-4222
Mailing Address - Fax:412-963-6607
Practice Address - Street 1:11743 FRANKSTOWN ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3442
Practice Address - Country:US
Practice Address - Phone:412-242-4222
Practice Address - Fax:412-963-6607
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019121L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice