Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLETTE YOUNG PITTMAN DMD
NPI 1043837495
Dentist - General Practice in Fort Drum, NY

Q: What is Nicolette Pittman's NPI number?

The NPI number for Nicolette Pittman is 1043837495. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Q: What is Nicolette Pittman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Nicolette Pittman was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 01, 2020

10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602(315) 772-5576 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Jul 1, 2020 (2 updates tracked since 2020).

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About Nicolette Young Pittman Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLETTE YOUNG PITTMAN DMD (NPI 1043837495) is an individual general practice provider in Fort Drum, New York, licensed in Oregon (D11247) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1043837495

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameNICOLETTE YOUNG PITTMANCredential: DMD

Location Address10590 ENDURING FREEDOM DRFort Drum, NY 13602-5503

Mailing Address10590 Enduring Freedom DrFort Drum, NY 13602-5503 · (315) 772-5576

Phone(315) 772-5576

Sole ProprietorYes

Enumeration DateJuly 1, 2020

Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1043837495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D11247

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License D11247 (OR)

10590 ENDURING FREEDOM DR, Fort Drum, NY 13602

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY BICE DENTALASSISTANT EFDA

Dental Assistant