person
Dr. Eric O Pettit, DDS
Pediatric Dentist in Liverpool, New York
NPI 1124019088

Eric O Pettit is a Pediatric Dentist based in Liverpool, NY and is specialized in Pediatric Dentistry. Eric O Pettit practices in Liverpool, NY and has the professional credentials of DDS. The NPI Number for Eric O Pettit is 1124019088 and holds a License No. 0246409 (New York).

The current practice location address for Eric O Pettit is 4820 West Taft Road, Liverpool, NY and can be reached out via phone at 315-457-2011.

Location: 4820 West Taft Road, Liverpool, NY, 13088
person
Provider Profile Details
NPI Number
1124019088
Provider Name
Eric O Pettit
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4820 West Taft Road, Liverpool, NY, 13088
Phone Number
315-457-2011
Fax Number
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00562249 05 NY
institution
Provider Business Practice Location Address Details
Address
4820 West Taft Road
City
State
Zip
13088
Phone Number
315-457-2011
Fax Number
person
Provider Business Mailing Address Details
Address
4820 West Taft Road
City
State
Zip
13088
Phone Number
315-457-2011
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
0246409 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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