Individual provider · Type 1 NPI

James C. Pettigrew Jr., DMD

Oral and Maxillofacial Radiology Dentistry · Gainesville, FL

NPI number 1689643264 Active

Practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Call (352) 273-6775 Map

Fax (352) 392-2507

Mailing address

PO Box 918025
Orlando, FL 32891-8025

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XDTP312 (FL)
Oral and Maxillofacial Radiology Dentistry Primary 1223X0008XDTP312 (FL)

Oral and Maxillofacial Radiology Dentistry: The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.

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About NPI 1689643264

James C. Pettigrew Jr., DMD's National Provider Identifier is 1689643264, issued on Mar 16, 2006. The primary taxonomy on file is Oral and Maxillofacial Radiology Dentistry (1223X0008X), and the practice location is in Gainesville, FL. The record was last updated on Apr 23, 2008.