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JAY W. PETTIT DDS INC.
NPI 1164585097
Dentist - General Practice in Bristow, OK

Active since December 19, 2006
112 N ELM ST, BRISTOW, OK 74010(918) 367-5900(918) 367-3226 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jay W. Pettit Dds Inc. NPPES

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

JAY W. PETTIT DDS INC. (NPI 1164585097) is a healthcare organization registered as a general practice in Bristow, Oklahoma and active in the NPI registry since December 2006. The organization lists Jay Wade Pettit, President, as its authorized official.

NPPES Registry Identity

NPI1164585097
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJAY W. PETTIT DDS INC.
Location Address112 N ELM STBristow, OK 74010-2424
Mailing Address112 N Elm StBristow, OK 74010-2424 · (918) 367-5900 · Fax (918) 367-3226
Phone(918) 367-5900
Fax(918) 367-3226
Organization SubpartNo
Authorized OfficialJay Wade PettitPresident · (918) 367-5900
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164585097 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
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Other Identifiers 1

Medicaid1304885OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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.

DR. JAY WADE PETTIT D.D.S.
Dentist (General Practice)
112 N ELM ST
BRISTOW, OK 74010
Creek County (918) 367-5900

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 W. Pettit Dds Inc.'s NPI number?

The NPI number for Jay W. Pettit Dds Inc. is 1164585097. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Jay W. Pettit Dds Inc. located?

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

What is Jay W. Pettit Dds Inc.'s specialty?

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

What insurance does Jay W. Pettit Dds Inc. 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 1 other insurer list Jay W. Pettit Dds Inc. 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 W. Pettit Dds Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.