Search › Oklahoma › 1223G0001X
Jay Pettit, D.D.S
NPI 1154527265 · on the registry since 2007 · sole proprietor
Practice
- Address
- 112 N Elm St
Bristow, OK 74010 - Phone
- (918) 367-5900
- Fax
- (918) 367-3226
- Organisation at this address
- Jay W. Pettit Dds Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma