DR. DENNIS G PETTIT


Address: 1762 Commerce Center Blvd, Fairborn, OH 45324-6358
Phone: 9378788694

DR. DENNIS G PETTIT (NPI# 1356354765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356354765
Entity Type Individual
Full Name DR. DENNIS G PETTIT
Credential DDS
Practice Address 1762 Commerce Center Blvd
Fairborn
OH 45324-6358
Mailing Address 1762 Commerce Center Blvd
Fairborn
OH 45324
Practice Telephone 9378788694
Mailing Telephone 9378788694
Mailing Fax Number 9378781554
Enumeration Date 2006-08-15
Last Update Date 2008-08-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
30018161 OH Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
30-01-8161 OH Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0695609 05

Office Location

Street Address 1762 COMMERCE CENTER BLVD
City FAIRBORN
State OH
Zip Code 45324-6358

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356667323 Dennis G Pettit Dds Inc Clinic/Center 1762 Commerce Center Blvd, Fairborn, OH 45324-6358 2010-04-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023647591 Michael Hubbell Student in an Organized Health Care Education/Training Program 2555 University Blvd., Fairborn, OH 45324 2020-04-06
1982243382 Wickshire Fairborn Opco LLC Assisted Living Facility 2270 Park Hills Drive, Fairborn, OH 45324 2020-01-02
1104301654 Sophia Alridge Counselor 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 2018-10-01
1750863189 Sydney Bowser Behavior Technician 1750 Commerce Center Blvd., Fairborn, OH 45324 2018-09-01
1710406798 Chester Cashmir Torkornoo Dentist 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 2017-09-11
1245772375 Ranada LLC Health Maintenance Organization 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 2016-11-07
1194277582 Derrick Bark Specialist/Technologist 85 Old Yellow Springs Rd, Fairborn, OH 45324 2016-11-01
1326592635 Sheena Elizabeth Geoghegan Student in an Organized Health Care Education/Training Program 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 2016-08-04
1912360199 Tarah Heath Occupational Therapist 2498 Dayton, Beavercreek, OH 45324 2016-04-04
1255706339 Cierra Jackson Counselor 1560 Calder Ct, Fairborn, OH 45324 2015-12-01
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Taxonomy Information

Taxonomy Code 1223P0106X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Pathology

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487207387 Mehak Kaul Dentist 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 2019-07-19
1427257401 Kelly Lynn Podlosky Dentist The Ohio State University College of Dentistry, 305 W. 12th Ave., Columbus, OH 43210 2007-07-11
1861536468 Donald L Knowles Dentist 1235 W Market St, Lima, OH 45805-2728 2007-02-16
1356484430 Meredith Lee Griffith Dentist 1507 Lincoln Blvd, Lorain, OH 44055-3138 2007-02-15
1225177033 Bruce Allen Fraser Dentist 463 Waterbury Ct, Suite A, Columbus, OH 43230 2007-02-06
1396884805 Gregory C Michaels Dentist 823 N Columbus St, Lancaster, OH 43130-2549 2007-02-05
1144316126 Faisal A Quereshy Dentist 3591 Reserve Commons Drive, Suite 300, Medina, OH 44256 2006-10-05
1104927524 Ronald L Lehnowsky Dentist 1670 Cooper Foster Park Rd, Lorain, OH 44053-3658 2006-09-26
1649378233 James Warren Hanna Dentist 1813 W Prospect Rd, Ashtabula, OH 44004-6623 2006-09-20
1386605152 Stanley A Hirsch Dentist 6365 Longridge Rd, Mayfield Heights, OH 44124-4114 2006-03-31
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Competitor

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City FAIRBORN
Zip Code 45324

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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