DR. DENNIS G PETTIT DDS
NPI 1356354765
Dentist - Oral and Maxillofacial Pathology in Fairborn, OH

Active since August 15, 2006Opted out of Medicare · through Jul 1, 2027
1762 COMMERCE CENTER BLVD, FAIRBORN, OH 45324(937) 878-8694 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dennis G Pettit Dds NPPES

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

DR. DENNIS G PETTIT DDS (NPI 1356354765) is an individual oral and maxillofacial pathology provider in Fairborn, Ohio, licensed in Ohio (30018161) and active in the NPI registry since August 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356354765
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. DENNIS G PETTITCredential: DDS
Location Address1762 COMMERCE CENTER BLVDFairborn, OH 45324-6358
Mailing Address1762 Commerce Center BlvdFairborn, OH 45324 · (937) 878-8694 · Fax (937) 878-1554
Sole ProprietorYes
Enumeration DateAugust 15, 2006
Last NPPES UpdateAugust 12, 2008
NPI 1356354765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License Licensed in OH · 30018161
Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 30-01-8161 (OH)
1762 COMMERCE CENTER BLVD, Fairborn, OH 45324

Other Identifiers 3

Medicare ID-Type UnspecifiedPE0694012OH
Medicaid0695609OH
Medicare UPINU17952OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Dennis G Pettit Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Oral and Maxillofacial Surgery)
1762 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Dentist
1762 COMMERCE CENTER BLVD
FAIRBORN, OH 45324

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 Dennis Pettit's NPI number?

The NPI number for Dennis Pettit is 1356354765. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Dennis Pettit located?

Dennis Pettit practices at 1762 Commerce Center Blvd, Fairborn, OH 45324. The listed phone number is (937) 878-8694.

What is Dennis Pettit's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Dennis Pettit enrolled in Medicare?

No. Dennis Pettit has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Dennis Pettit accept?

Health plans from Delta Dental of Ohio and MedMutual list Dennis 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 Dennis Pettit was last updated on August 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.