JAY W. PETTIT DDS INC. NPI 1164585097

NPI Information

JAY W. PETTIT DDS INC. is a general practice dentist in Bristow, OK. The provider is 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. JAY W. PETTIT DDS INC. NPI is 1164585097. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

112 N ELM ST
BRISTOW, OK
ZIP 74010-424
Phone: (918) 367-5900
Fax: (918) 367-3226

The provider's authorized official is Jay Wade Pettit .
The authorized official title is President and has the following contact phone number (918) 367-5900.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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