DENNIS G PETTIT DDS INC
NPI 1356667323
Clinic/Center - Oral and Maxillofacial Surgery in Fairborn, OH

Active since April 15, 2010
1762 COMMERCE CENTER BLVD, FAIRBORN, OH 45324(937) 878-8694 Get Directions Write a Review

NPPES record last updated: April 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dennis G Pettit Dds Inc NPPES

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

DENNIS G PETTIT DDS INC (NPI 1356667323) is a healthcare organization registered as an oral and maxillofacial surgery in Fairborn, Ohio and active in the NPI registry since April 2010. The organization lists Dennis G. Pettit, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1356667323
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameDENNIS G PETTIT DDS INC
Location Address1762 COMMERCE CENTER BLVDFairborn, OH 45324-6358
Mailing Address1762 Commerce Center BlvdFairborn, OH 45324-6358 · (937) 878-8694
Organization SubpartNo
Authorized OfficialDennis G. PettitOwner/provider · (937) 878-8694
Enumeration DateApril 15, 2010
Last NPPES UpdateApril 23, 2010
NPI 1356667323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License Licensed in OH · 30-01-8161
Definition

An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1762 COMMERCE CENTER BLVD, Fairborn, OH 45324

Other Identifiers 2

Medicare UPINU17952OH
Medicaid0695609OH

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.

Dentist (Oral and Maxillofacial Pathology)
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 G Pettit Dds Inc's NPI number?

The NPI number for Dennis G Pettit Dds Inc is 1356667323. It was assigned to this organization in the NPPES registry on April 15, 2010.

Where is Dennis G Pettit Dds Inc located?

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

What is Dennis G Pettit Dds Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Dennis G Pettit Dds Inc was last updated on April 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.