Brad Pitts Dmd Llc

LBN: Brad Pitts Dmd Llc
Brad Pitts Dmd Llc is an health care organization with primary practice located at 117 Old Chapin Rd , Lexington SC 29072-2005. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Brad Pitts Dmd Llc can be contacted via phone (803) 808-1778, or through Pitts, Bradley Reeder via phone (803) 808-1778.

Contact Information

Primary practice address
117 Old Chapin Rd Lexington SC 29072-2005
Phone: (803) 808-1778
Fax: (803) 808-1821
Website:
Map and Directions
Authorized official contact:
Name: Pitts, Bradley Reeder Doctor of Dental Medicine (DMD)
Phone: (803) 808-1778

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3777 South Carolina

Profile Details

NPI number 1811186240
LBN Legal business name Brad Pitts Dmd Llc
DBA Doing business as
Authorized official Pitts, Bradley Reeder Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Oct 22nd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811186240 NPPES
South Carolina MEDICAID ZA9591

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