Provider Demographics
NPI:1821125733
Name:JAMES C. PITTS DDS, P.A.
Entity Type:Organization
Organization Name:JAMES C. PITTS DDS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:SR
Authorized Official - Credentials:DENTIST
Authorized Official - Phone:770-432-3381
Mailing Address - Street 1:573 CONCORD RD SE STE B
Mailing Address - Street 2:
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 STE B
Practice Address - Street 2:
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:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7472261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental