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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DENNIS G PETTIT, DDS

Active Sole Proprietor

DR. DENNIS G PETTIT, DDS is a Orthodontics & Dentofacial Orthopedics healthcare provider located in FAIRBORN, Ohio. NPI 1356354765 is currently active in the NPPES registry. Verify at CMS.

Orthodontics & Dentofacial Orthopedics · FAIRBORN, OH

Registration Details

NPI Number
1356354765
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2006 (20.03795376919 yrs)
Last Updated
Aug 12, 2008
Licenses
30018161 (OH)
30-01-8161 (OH)
Sole Proprietor
Yes

Practice Information

Address
1762 COMMERCE CENTER BLVD
FAIRBORN, OH, 453246358
Browse OH providers · Browse ZIP 45324
Phone
9378788694
Primary Specialty
Orthodontics & Dentofacial Orthopedics
1223P0106X
Additional Specialty
Oral & Maxillofacial Surgery
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.