MARTIN R PITTMAN DDS MS PC
NPI 1104812213
Dentist - Oral and Maxillofacial Surgery in Johnson City, TN

Q: What is Martin R Pittman Dds Ms PC's NPI number?

The NPI number for Martin R Pittman Dds Ms PC is 1104812213. It was assigned to this organization in the NPPES registry on September 23, 2005.

Q: What is Martin R Pittman Dds Ms PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since September 23, 2005

111 W FAIRVIEW AVE, JOHNSON CITY, TN 37604(423) 929-8011(429) 929-7811 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Martin R Pittman Dds Ms Pc NPPES

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

MARTIN R PITTMAN DDS MS PC (NPI 1104812213) is a healthcare organization registered as an oral and maxillofacial surgery in Johnson City, Tennessee and active in the NPI registry since September 2005. The organization lists Martin R Pittman, President, as its authorized official.

NPPES Registry Identity

NPI1104812213

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameMARTIN R PITTMAN DDS MS PC

Location Address111 W FAIRVIEW AVEJohnson City, TN 37604-5632

Mailing Address111 W Fairview AveJohnson City, TN 37604-5632

Phone(423) 929-8011

Fax(429) 929-7811

Organization SubpartNo

Authorized OfficialMartin R PittmanPresident · (423) 929-8011

Enumeration DateSeptember 23, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104812213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in TN · D52049

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

111 W FAIRVIEW AVE, Johnson City, TN 37604

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. WILLIAM G LINEBARGER D.D.S., M.S.

Dentist (Endodontics)

111 W FAIRVIEW AVE
JOHNSON CITY, TN 37604

Washington County (423) 926-4167

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin R Pittman Dds Ms PC's NPI number?

The NPI number for Martin R Pittman Dds Ms PC is 1104812213. It was assigned to this organization in the NPPES registry on September 23, 2005.

Where is Martin R Pittman Dds Ms PC located?

Martin R Pittman Dds Ms PC is located at 111 W Fairview Ave, Johnson City, TN 37604. The listed phone number is (423) 929-8011.

What is Martin R Pittman Dds Ms PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Martin R Pittman Dds Ms PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.