JAMES C PETTIGREW DMD NPI 1689643264

NPI Information

James C Pettigrew, DMD is an oral and maxillofacial radiology dentist in Gainesville, FL. The provider is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. James C Pettigrew, DMD NPI is 1689643264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610-003
Phone: (352) 273-6775
Fax: (352) 392-2507

The enumeration date for this NPI number is 3/16/2006 and was last updated on 4/23/2008.

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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