Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154498145 Individual Practitioner Male Practitioner

Dr. Bobby Teron Pittman , DDS

Dentist - General Practice • Forest Park, GA

Professional Overview & Biography Verified Profile Summary

Dr. Bobby Pittman, DDS is a registered healthcare professional specializing in Dentist - General Practice in Forest Park, GA. Practice services are available at 4458 JONESBORO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4458 Jonesboro Rd

Forest Park, GA 302974314

Telephone 6789045665
Associated Practice Facility / Clinic
🏢 Creston Dental-1, P.c. Facility NPI 1972687903

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Forest Park, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
10 Specialists

Practicing in Forest Park, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN013164

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
652095315F (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Stephanie Boone , DDS

Dentist - General Practice

NPI 1063740579

Doctor of Dental Surgery

Dr. Sharnn Shepheard , DDS

Dentist - General Practice

NPI 1083713747

Doctor of Dental Surgery

Dr. Richard Kim , DMD

Dentist - General Practice

NPI 1104062009

Doctor of Dental Medicine

Dr. Vanessa Parris , DDS

Dentist - General Practice

NPI 1407041742

Doctor of Dental Surgery

NPI 1447565239

BDS, Doctor of Philosophy (Ph.D.)

Dr. Ronique Keane-Dawes , DDS

Dentist - General Practice

NPI 1457688004

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 18, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2014

Registered at 4458 JONESBORO RD, FOREST PARK, GA 302974314 (Tel: 6789045665)

📍
Updated Business Mailing Address June 18, 2014

Registered at 2788 BAYARD ST, EAST POINT, GA 303443441 (Tel: 7704078700)

👤
Provider Name / Credentials Updated June 18, 2014

Recorded as BOBBY PITTMAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2014

Dentist (License #DN013164 in GA)

🟢
Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154498145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: June 18, 2014
Sole Proprietor: No

Mailing Address

2788 Bayard St

East Point, GA 303443441

Phone: 7704078700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.