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Dr. Jay Wade Pettit, DDS
General Practice Dentistry in Bristow, Oklahoma
NPI 1154527265

Jay Wade Pettit is a General Practice Dentistry based in Bristow, OK and is specialized in General Practice. Jay Wade Pettit practices in Bristow, OK and has the professional credentials of DDS. The NPI Number for Jay Wade Pettit is 1154527265 and holds a License No. 4885 (Oklahoma).

The current practice location address for Jay Wade Pettit is 112 N Elm St, Bristow, OK and can be reached out via phone at 918-367-5900 and via fax at 918-367-3226. You can also correspond with Jay Wade Pettit through the mailing address at 112 N ELM ST, BRISTOW, OK - 74010-2424 (mailing address contact number: 918-367-5900).

Location: 112 N Elm St, Bristow, OK, 74010-2424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154527265
Provider Name
Jay Wade Pettit
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
112 N Elm St, Bristow, OK, 74010-2424
Phone Number
918-367-5900
Fax Number
918-367-3226
Provider Enumeration Date
06/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
112 N Elm St
City
Bristow
State
Oklahoma
Zip
74010-2424
Phone Number
918-367-5900
Fax Number
918-367-3226
person
Provider Business Mailing Address Details
Address
112 N Elm St
City
Bristow
State
Oklahoma
Zip
74010-2424
Phone Number
918-367-5900
Fax Number
918-367-3226
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4885 (Oklahoma)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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