Individual provider · Type 1 NPI

David Pettit

Denturist · Gresham, OR

NPI number 1124620802 Active

Practice location

1584 NE 8th St Ste 208
Gresham, OR 97030-5746

Fax (503) 230-0208

Specialties and licenses

TaxonomyCodeLicense
Denturist Primary 122400000XNone listed

Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

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About NPI 1124620802

David Pettit's National Provider Identifier is 1124620802, issued on Nov 9, 2020. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Gresham, OR. The record was last updated on Jul 8, 2025.