Leslie M. Pitts, DMD, Pediatric Dentistry, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN013095 Issued in GA

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

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": []
}

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• Jason Thomas Lue Yen, DDS
• Robert P Marshburn, MD
• Thomas Clayton Martin Jr., PHARMD

• Dental Clinic/Center in Commerce, GA
• Providers in Commerce, GA by specialty
• Dental Clinic/Center in Georgia

• 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.

Verify at the official NPI Registry.