Provider Demographics
NPI:1720123540
Name:PITEK, FRANCIS MARK (DMD MSD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:MARK
Last Name:PITEK
Suffix:
Gender:M
Credentials:DMD MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:700 SPRING GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057-3034
Mailing Address - Country:US
Mailing Address - Phone:717-944-9980
Mailing Address - Fax:717-944-9869
Practice Address - Street 1:700 SPRING GARDEN DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:PA
Practice Address - Zip Code:17057-3034
Practice Address - Country:US
Practice Address - Phone:717-944-9980
Practice Address - Fax:717-944-9869
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019046L122300000X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics