Provider Demographics
NPI:1871560649
Name:PYRITZ, THOMAS HARRY (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:HARRY
Last Name:PYRITZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8580 UNIVERSITY PKWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-4905
Mailing Address - Country:US
Mailing Address - Phone:850-478-2998
Mailing Address - Fax:
Practice Address - Street 1:8580 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-4905
Practice Address - Country:US
Practice Address - Phone:850-478-2998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA99651223G0001X
FL103751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL077689100Medicaid