Active NPI
Leslie M. Pitts, DMD, Pediatric Dentistry, PC
- Dental Clinic/Center
- Commerce, GA
National Provider Identifier
1356540231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DN013095
- Legal business name
- LESLIE M. PITTS, DMD, PEDIATRIC DENTISTRY, PC
- Practice address
- 215 Mercer PL
Commerce, GA 30529-1564 - Phone
- (706) 335-7793
- Fax
- (706) 335-7815
- NPI assigned
- Jul 12, 2007
- Last updated
- Jul 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leslie M Pitts, DMD
- Title
- President
- Phone
- (706) 335-7793
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DN013095 | GA | Primary |
Addresses
Primary practice location
215 Mercer PL
Commerce, GA 30529-1564
Mailing address
PO Box 1241
Commerce, GA 30529-0023
Phone (706) 335-7793
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Commerce, GA
- NPI 1881770717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184198400000",
"number": "1356540231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1241",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305290023",
"telephone_number": "706-335-7793",
"fax_number": "706-335-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MERCER PL",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305291564",
"telephone_number": "706-335-7793",
"fax_number": "706-335-7815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESLIE M. PITTS, DMD, PEDIATRIC DENTISTRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-12",
"last_updated": "2007-07-12",
"status": "A",
"authorized_official_last_name": "PITTS",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "706-335-7793",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "GA",
"license": "DN013095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.