Provider Demographics
NPI:1609997626
Name:PITTS ORTHODONTICS INC
Entity type:Organization
Organization Name:PITTS ORTHODONTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-825-3400
Mailing Address - Street 1:4786 CAUGHLIN PKWY STE 305
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-0912
Mailing Address - Country:US
Mailing Address - Phone:775-825-3400
Mailing Address - Fax:775-825-2900
Practice Address - Street 1:4786 CAUGHLIN PKWY STE 305
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-0912
Practice Address - Country:US
Practice Address - Phone:775-825-3400
Practice Address - Fax:775-825-2900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS3-221223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty