Provider Demographics
NPI:1689884900
Name:PALITTI, MARY ANN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARY ANN
Middle Name:
Last Name:PALITTI
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 1:32 JEFFERSON AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-3354
Mailing Address - Country:US
Mailing Address - Phone:724-981-1711
Mailing Address - Fax:
Practice Address - Street 1:32 JEFFERSON AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-3354
Practice Address - Country:US
Practice Address - Phone:724-981-1711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA223011223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics