Provider Demographics
NPI:1932256823
Name:PITTS, ADAM S (MD, DDS)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:S
Last Name:PITTS
Suffix:
Gender:M
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 305172
Mailing Address - Street 2:DEPT 93
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-5172
Mailing Address - Country:US
Mailing Address - Phone:615-329-4401
Mailing Address - Fax:
Practice Address - Street 1:300 20TH AVE N STE 100
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2135
Practice Address - Country:US
Practice Address - Phone:615-329-4401
Practice Address - Fax:615-321-6175
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN91391223S0112X
TNDENTAL: 9139204E00000X
TNMEDICAL: 46360204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery