Dennis G Pettit Dds Inc
LBN: Dennis G Pettit Dds Inc
Dennis G Pettit Dds Inc is an health care organization with primary practice located at 1762 Commerce Center Blvd , Fairborn OH 45324-6358. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Dennis G Pettit Dds Inc can be contacted via phone (937) 878-8694, or through Pettit, Dennis G. via phone (937) 878-8694.
Contact Information
Primary practice address
1762 Commerce Center Blvd
Fairborn OH 45324-6358
Phone: (937) 878-8694
Fax:
Website:
Authorized official contact:
Name: Pettit, Dennis G. Doctor of Dental Surgery (DDS)
Phone: (937) 878-8694
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X | 30-01-8161 | Ohio |
Profile Details
NPI number | 1356667323 |
---|---|
LBN Legal business name | Dennis G Pettit Dds Inc |
DBA Doing business as | |
Authorized official | Pettit, Dennis G. Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 15th, 2010 |
Last updated | Apr 23rd, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356667323 | NPPES |
Ohio | MEDICAID | 0695609 |
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