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

Jay W. Pettit DDS Inc

Organization General Practice Dentistry · NPI 1164585097

Jay W. Pettit DDS Inc is a General Practice Dentistry in Bristow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 N Elm St
Bristow, OK 74010-2424
Phone: (918) 367-5900
Fax: (918) 367-3226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4885 (OK)

Record details

NPI number1164585097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Pettit — President · (918) 367-5900
NPI enumeratedDecember 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address112 N Elm St, Bristow, OK 74010-2424

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