Jason Blaine Pittman, DDS

General Practice Dentistry · Bristol, TN

Individual Active NPI

NPI number 1104987171

Practice location

401 Martin Luther King Jr Blvd
Bristol, TN 37620-3588
Phone
(423) 968-4422
Fax
(423) 968-3477

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NPI record

NPI
1104987171
Entity type
Individual (Type 1)
Enumeration date
December 13, 2006
Last updated
June 11, 2021
Certified
June 11, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DS8239 TN

About Dr. Pittman

Jason Blaine Pittman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 401 Martin Luther King Jr Blvd, Bristol, TN 37620-3588. The NPI number 1104987171 was assigned on December 13, 2006 and the record was last updated on June 11, 2021.

Dr. Pittman lists a license in the registry: #DS8239 (TN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jason Blaine Pittman, DDS?

The NPI number is 1104987171.

What is the phone number of Dr. Pittman?

The phone number listed for the practice location is (423) 968-4422.

Where is Dr. Pittman located?

401 Martin Luther King Jr Blvd, Bristol, TN 37620-3588.

What is the taxonomy code for Dr. Pittman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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