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

J LEE PETTIGREW DDS PA

Active Organization

J LEE PETTIGREW DDS PA is a Dental Clinic organization located in SOUTHLAKE, Texas. NPI 1619364114 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · SOUTHLAKE, TX

Registration Details

NPI Number
1619364114
Provider Type
Organization
NPI Issued
Apr 22, 2015 (11.349382048427 yrs)
Last Updated
Apr 22, 2015
License
15943 (TX)

Practice Information

Address
201 PLAYERS CIR
STE 100
SOUTHLAKE, TX, 760926944
Browse TX providers · Browse ZIP 76092
Phone
8174814888
Fax
8174217370
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in SOUTHLAKE, TX

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.