Organization · Type 2 NPI
Dennis G Pettit DDS Inc
Oral and Maxillofacial Surgery Clinic/Center · Fairborn, OH
NPI number
1356667323
Active
Practice location
1762 Commerce Center Blvd
Fairborn, OH 45324-6358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | 30-01-8161 (OH) |
Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes 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.
2 other providers at this address
About NPI 1356667323
Dennis G Pettit DDS Inc's National Provider Identifier is 1356667323, issued on Apr 15, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Fairborn, OH. The record was last updated on Apr 23, 2010.