Pettit, Jay Wade

Pettit, Jay Wade is an sole proprietor health care provider with primary practice located at 112 N Elm St , Bristow OK 74010-2424. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pettit, Jay Wade can be contacted via phone (918) 367-5900.

Contact Information

Primary practice address
112 N Elm St Bristow OK 74010-2424
Fax: (918) 367-3226
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4885 Oklahoma

Profile Details

NPI number 1154527265
LBN Legal business name Pettit, Jay Wade
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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