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

Dr. Jay Wade Pettit, DDS

Individual provider General Practice Dentistry · NPI 1154527265

Dr. Jay Wade Pettit, DDS is a General Practice Dentistry in Bristow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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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 number1154527265
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 25, 2007
Last updated in NPPESJuly 8, 2007
Mailing address112 N Elm St, Bristow, OK 74010-2424

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