NPI 1023006194 · live from the CMS NPI Registry
Jeffrey Dean Pittis, M.D.
Dermatology in Bangor, ME. National Provider Identifier 1023006194, active.
NPI record
| NPI | 1023006194 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 90 Ridgewood Dr, Bangor, ME 04401 |
| Practice phone | 207-942-0669 |
| Enumerated | October 12, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | ME013153 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.