Dennis Gary Pettit (NPI# 1356354765, PAC ID# 5991832644) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
Nation Provider ID (NPI) | 1356354765 |
PAC ID by PECOS | 5991832644 |
Professional Enrollment ID | I20100428000855 |
Full Name | Dennis Gary Pettit |
Address |
1762 Commerce Ctr Blvd Fairborn OH 45324-6358 |
Gender | M |
Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1985 |
Primary Specialty | ORAL SURGERY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1762 Commerce Ctr Blvd, Fairborn, OH 45324-6358 | ||
2225 N Limestone St, Springfield, OH 45503-2635 |
Street Address |
1762 COMMERCE CTR BLVD |
City | FAIRBORN |
State | OH |
Zip | 45324-6358 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy M Bolen | Nurse Practitioner | Weller Health Transitions | Dayspring of Miami Valley, 8001 Dayton Springfield Rd, Fairborn, OH 45324-1907 |
Jennifer M Dyer | Nurse Practitioner | Western Medicine Inc | 7774 Dayton Springfield Rd, Fairborn, OH 45324-1957 |
Colin Bailey | Physical Therapy | Kncc Enterprise, LLC | 7774 Dayton Springfield Rd, Suite C, Fairborn, OH 45324-1957 |
Aaron Thomas Groth | Family Medicine | Western Medicine Inc | 7774 Dayton Springfield Rd, Fairborn, OH 45324-1957 |
Jacob T Dean | Family Medicine | Western Medicine Inc | 7774 Dayton Springfield Rd, Fairborn, OH 45324-1957 |
Jinyun Wu | Internal Medicine | Ohio Post-acute Medical Services 1 Inc | 7800 Dayton Springfield Rd, Fairborn, OH 45324-1997 |
David H Roush | Psychologist, Clinical | 2378 National Rd, Fairborn, OH 45324-2009 | |
Wade Stewart Rice | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 725 University Blvd, Beavercreek, OH 45324-2640 |
Kevin Paul Strayer | Physical Therapy | Pt Link LLC | 7617 Dayton Springfield Rd, Fairborn, OH 45324-3560 |
Randall R Shaffer | Chiropractic | 1038 Kauffman Ave, Fairborn, OH 45324-3815 | |
Find all physicians in zip 45324 |
City | FAIRBORN |
Zip Code | 45324 |
Specialty | ORAL SURGERY |
City + Specialty | FAIRBORN + ORAL SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.