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DAVID PETTIT
NPI 1124620802
Denturist in Gresham, OR

Active since November 09, 2020
1584 NE 8TH ST STE 208, GRESHAM, OR 97030(503) 230-0207(503) 230-0208 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2025, Nov 9, 2020 (2 updates tracked since 2020).

About David Pettit NPPES

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

DAVID PETTIT (NPI 1124620802) is an individual denturist in Gresham, Oregon and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1124620802
Entity TypeIndividualMale
Primary Taxonomy122400000X
Provider Legal NameDAVID PETTIT
Location Address1584 NE 8TH ST STE 208Gresham, OR 97030-5746
Mailing Address1584 Ne 8th St Ste 208Gresham, OR 97030-5746 · (503) 230-0207 · Fax (503) 230-0208
Phone(503) 230-0207
Fax(503) 230-0208
Sole ProprietorYes
Enumeration DateNovember 9, 2020
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1124620802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
1584 NE 8TH ST STE 208, Gresham, OR 97030
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Other Providers at the Same Location NPPES

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

MELANIE J BLOCK LD
Denturist
1584 NE 8TH ST STE 208
GRESHAM, OR 97030
Multnomah County (503) 230-0207

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 David Pettit's NPI number?

The NPI number for David Pettit is 1124620802. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Where is David Pettit located?

David Pettit practices at 1584 NE 8th St Ste 208, Gresham, OR 97030. The listed phone number is (503) 230-0207.

What is David Pettit's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for David Pettit was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.