Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ERIC O PETTIT DDS
NPI 1124019088
Dentist - Pediatric Dentistry in Liverpool, NY

Active since October 31, 2005
4820 WEST TAFT ROAD, SUITE 204, LIVERPOOL, NY 13088(315) 457-2011 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Eric O Pettit Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC O PETTIT DDS (NPI 1124019088) is an individual pediatric dentistry provider in Liverpool, New York, licensed in New York (0246409) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1124019088
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. ERIC O PETTITCredential: DDS
Location Address4820 WEST TAFT ROAD, SUITE 204Liverpool, NY 13088
Mailing Address4820 West Taft Road, Suite 204Liverpool, NY 13088 · (315) 457-2011
Sole ProprietorNo
Enumeration DateOctober 31, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1124019088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 0246409
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.
4820 WEST TAFT ROAD, Liverpool, NY 13088

Other Identifiers 1

Medicaid00562249NY

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4820 WEST TAFT ROAD, SUITE 214
LIVERPOOL, NY 13088
Dentist (General Practice)
4820 WEST TAFT ROAD
LIVERPOOL, NY 13088
Nurse Practitioner (Family)
4820 WEST TAFT ROAD, STE 108
LIVERPOOL, NY 13088
Dentist
4820 WEST TAFT ROAD, SUITE 101 WEST TAFT MEDICAL PARK
LIVERPOOL, NY 13088
Nurse Practitioner
4820 WEST TAFT ROAD, SUITE 108
LIVERPOOL, NY 13088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Pettit's NPI number?

The NPI number for Eric Pettit is 1124019088. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Eric Pettit located?

Eric Pettit practices at 4820 West Taft Road Suite 204, Liverpool, NY 13088. The listed phone number is (315) 457-2011.

What is Eric Pettit's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Eric Pettit was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.