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DR. TRENTON PACE DITTMER M.D. NPI 1750639894


NPI Information

NPI: 1750639894
Provider Name: DR. TRENTON PACE DITTMER, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1365A CLIFTON RD NE STE AT-627
ATLANTA, GA
ZIP 30322
Phone: (404) 778-4446
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DR. Trenton Pace Dittmer, M.D. is a diagnostic radiology radiology in Atlanta, GA with 8 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Trenton Pace Dittmer, M.D. NPI is 1750639894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1365A CLIFTON RD NE STE AT-627
ATLANTA, GA
ZIP 30322-905
Phone: (404) 778-4446

The NPI 1750639894 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2012 and was last updated on 5/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology39436SOUTH CAROLINANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32085R0202XRadiologyDiagnostic Radiology88225GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.