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General NPI Number Information
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NPI Number | 1821125733
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Entity Type | Organization
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Legal Business Name | JAMES C. PITTS DDS, P.A.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 573 CONCORD RD SE STE B
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City | SMYRNA
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State | GA
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Zip | 30082-2611
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Country | US
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Telephone | 770-432-3381
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Fax | 770-436-1536
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Provider Business Mailing Address
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Address Line | 573 CONCORD RD SE STE B
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City | SMYRNA
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State | GA
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Zip | 30082-2611
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Country | US
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Telephone | 770-432-3381
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Fax | 770-436-1536
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Authorized Official
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Title or Position | PRES.
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Name | DR. JAMES C. PITTS SR.
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Credential | DENTIST
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Telephone | 770-432-3381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 7472
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License Number State | GA
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