Martin R Pittman DDS Ms PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D52049 Issued in TN

Legal business name

MARTIN R PITTMAN DDS MS PC

Practice address

111 W Fairview Ave
Johnson City, TN 37604-5632

Phone

(423) 929-8011

Fax

(429) 929-7811

NPI assigned

Sep 23, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martin R Pittman, DDS

Title

President

Phone

(423) 929-8011

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104812213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W FAIRVIEW AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W FAIRVIEW AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045632",
            "telephone_number": "423-929-8011",
            "fax_number": "429-929-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN R PITTMAN DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-929-8011",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "D52049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia K Marsh, NP
• Jeremiah L Marsh, M.D.
• Rhonda Faye Marshall, RN C
• Martin Dentistry PC (Martin Dentistry of Johnson City)
• Martin Dentistry, PC (Martin Dentistry of Johnson City)
• Andrew Martin
• Caitlin Sloan Martin, BS
• Isaac Lee Martin Jr., MRC CRC
• Jeffery Chad Martin, D.O.
• Kris E Martin

• Oral and Maxillofacial Surgery (Dentist) in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.