DR. Jay Wade Pettit, D.D.S.

NPI #1154527265 in Bristow, Oklahoma

Provider Information

NPI Number
1154527265
Entity Type
Individual
Name
DR. Jay Wade Pettit, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
112 N ELM ST
ZIP Code
74010-2424
Phone
(918) 367-5900

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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