Provider Demographics
NPI:1811193873
Name:JOSEPH M. PITTS, D.M.D., P.C.
Entity Type:Organization
Organization Name:JOSEPH M. PITTS, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-432-3381
Mailing Address - Street 1:573 CONCORD RD SE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-2611
Mailing Address - Country:US
Mailing Address - Phone:770-432-3381
Mailing Address - Fax:770-436-1536
Practice Address - Street 1:573 CONCORD RD SE
Practice Address - Street 2:SUITE B
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-2611
Practice Address - Country:US
Practice Address - Phone:770-432-3381
Practice Address - Fax:770-436-1536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA129501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty