DR. WILBUR P PETTITT JR. DDS
NPI 1689714917
Dentist - General Practice in Chicago, IL

Q: What is Wilbur Pettitt's NPI number?

The NPI number for Wilbur Pettitt is 1689714917. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Q: What is Wilbur Pettitt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wilbur Pettitt 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.

Active since February 07, 2007

2020 W 79TH ST, CHICAGO, IL 60620(773) 488-6700(773) 488-6753 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Wilbur P Pettitt Jr. Dds NPPES

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

DR. WILBUR P PETTITT JR. DDS (NPI 1689714917) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019-01112) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1689714917

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. WILBUR P PETTITT JR.Credential: DDS

Location Address2020 W 79TH STChicago, IL 60620-5720

Mailing Address2020 W 79th StChicago, IL 60620-5720 · (773) 488-6700 · Fax (773) 488-6753

Phone(773) 488-6700

Fax(773) 488-6753

Sole ProprietorYes

Enumeration DateFebruary 7, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689714917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019-01112

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.

2020 W 79TH ST, Chicago, IL 60620

Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

YOUTH 1ST COUNSELING SERVICES INC

Community/Behavioral Health

2020 W 79TH ST
CHICAGO, IL 60620

Cook County (708) 299-8800

CHRISTOPHER TAYLOR LCPC

Counselor (Mental Health)

2020 W 79TH ST
CHICAGO, IL 60620

Cook County (773) 805-0147

MS. CHERIE L BARNES NCC, LPC

Counselor (Professional)

2020 W 79TH ST
CHICAGO, IL 60620

Cook County (773) 592-1716

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 Wilbur Pettitt's NPI number?

The NPI number for Wilbur Pettitt is 1689714917. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Wilbur Pettitt located?

Wilbur Pettitt practices at 2020 W 79th St, Chicago, IL 60620. The listed phone number is (773) 488-6700.

What is Wilbur Pettitt's specialty?

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

When was this NPI record last updated?

The NPPES record for Wilbur Pettitt 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.