DR. JAY WADE PETTIT D.D.S.
NPI 1154527265
Dentist - General Practice in Bristow, OK

Active since June 25, 2007
112 N ELM ST, BRISTOW, OK 74010(918) 367-5900(918) 367-3226 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jay Wade Pettit D.d.s. NPPES

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

DR. JAY WADE PETTIT D.D.S. (NPI 1154527265) is an individual general practice provider in Bristow, Oklahoma, licensed in Oklahoma (4885) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1154527265
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAY WADE PETTITCredential: D.D.S.
Location Address112 N ELM STBristow, OK 74010-2424
Mailing Address112 N Elm StBristow, OK 74010-2424 · (918) 367-5900 · Fax (918) 367-3226
Fax(918) 367-3226
Sole ProprietorYes
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1154527265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OK · 4885
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.
112 N ELM ST, Bristow, OK 74010

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
112 N ELM ST
BRISTOW, OK 74010

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 Jay Pettit's NPI number?

The NPI number for Jay Pettit is 1154527265. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Jay Pettit located?

Jay Pettit practices at 112 N Elm St, Bristow, OK 74010. The listed phone number is (918) 367-5900.

What is Jay Pettit's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jay Pettit accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 14 other insurers list Jay Pettit as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jay Pettit was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.