Timothy J Pettit, D.D.S., Inc.

LBN: Timothy J Pettit, D.D.S., Inc.
Timothy J Pettit, D.D.S., Inc. is an health care organization with primary practice located at 1204 Cottonwood St Ste 7 , Woodland CA 95695-4362. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Timothy J Pettit, D.D.S., Inc. can be contacted via phone (530) 662-3915, or through Pettit, Timothy J via phone (530) 662-3915.

Contact Information

Primary practice address
1204 Cottonwood St Ste 7 Woodland CA 95695-4362
Fax: (530) 662-9314
Website:
Authorized official contact:
Name: Pettit, Timothy J Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 21494 California

Profile Details

NPI number 1487860573
LBN Legal business name Timothy J Pettit, D.D.S., Inc.
DBA Doing business as
Authorized official Pettit, Timothy J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487860573 NPPES
California Other 21494 STATE ID NUMBER

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