Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAY WADE PETTIT, D.D.S.
Active Sole ProprietorDR. JAY WADE PETTIT, D.D.S. is a General Dentistry healthcare provider located in BRISTOW, Oklahoma. NPI 1154527265 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BRISTOW, OK
Registration Details
- NPI Number
- 1154527265
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2007 (18.991577468947 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4885 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 N ELM STBRISTOW, OK, 740102424Browse OK providers · Browse ZIP 74010
- Phone
- 9183675900
- Fax
- 9183673226
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BRISTOW, OK
| Name | Credential | NPI |
|---|---|---|
| DEBORAH A. CORWIN | DDS | 1548207376 |
| JAMES O CORWIN | DDS | 1982647574 |
| AMANDA HENDRICKSON | DDS | 1851598213 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.