| Pittman Orthodontics | |
|
1004 Sushruta Dr Suite B Martinsburg WV 25401-8802 | |
| (304) 596-0425 | |
| (304) 596-8018 |
| Full Name | Pittman Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1004 Sushruta Dr, Martinsburg, West Virginia |
| Authorized Official Name and Position | Lance Pittman (ORTHODONTIST/PRESIDENT) |
| Authorized Official Contact | 3045960425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pittman Orthodontics 1004 Sushruta Dr Suite B Martinsburg WV 25401-8802 Ph: (304) 596-0425 | Pittman Orthodontics 1004 Sushruta Dr Suite B Martinsburg WV 25401-8802 Ph: (304) 596-0425 |
| NPI Number | 1306238779 |
|---|---|
| Provider Enumeration Date | 02/23/2015 |
| Last Update Date | 02/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306238779 | NPI | - | NPPES |
| 15031005 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3950 (West Virginia) | Primary |
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