Organization
DENNIS G PETTIT DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS G. PETTIT DDS (OWNER/PROVIDER)
(937) 878-8694
Entity
Organization
Contact information
Practice address
1762 COMMERCE CENTER BLVD, FAIRBORN, OH 45324-6358
(937) 878-8694
Mailing address
1762 COMMERCE CENTER BLVD, FAIRBORN, OH 45324-6358
(937) 878-8694
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
30-01-8161
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0695609
—
OH
Enumeration date
04/15/2010
Last updated
04/23/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up