Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

J Lee Pettigrew DDS PA

Organization Dental Clinic/Center · NPI 1619364114

J Lee Pettigrew DDS PA is a Dental Clinic/Center in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

201 Players Cir Ste 100
Southlake, TX 76092-6944
Phone: (817) 481-4888
Fax: (817) 421-7370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 15943 (TX)

Record details

NPI number1619364114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Pettigrew — Owner · (817) 481-4888
NPI enumeratedApril 22, 2015
Last updated in NPPESApril 22, 2015
Mailing address201 Players Cir, Ste 100, Southlake, TX 76092-6944

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