Pittman, Jeremy
Pittman, Jeremy is an sole proprietor health care provider with primary practice located at 2105 Palm Bay Rd Ne Ste 4-5 , Palm Bay FL 32905-2937. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Pittman, Jeremy can be contacted via phone (321) 725-7644.Contact Information
Primary practice address
2105 Palm Bay Rd Ne Ste 4-5
Palm Bay FL 32905-2937
Phone: (321) 725-7644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN26631 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / General Practice | 1223G0001X | DN26631 | Florida |
Profile Details
| NPI number | 1891468070 |
|---|---|
| LBN Legal business name | Pittman, Jeremy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2021 |
| Last updated | Feb 26th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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