Dr Jay Wade Pettit, DDS - Dentist in Bristow, OK

Dr Jay Wade Pettit, DDS is a Dentist - General Practice based in Bristow, Oklahoma. Dr Jay Wade Pettit is licensed to practice in Oklahoma (license number 4885) and his current practice location is 112 N Elm St, Bristow, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (918) 367-5900.

NPI number for Dr Jay Wade Pettit is 1154527265 and his current mailing address is 112 N Elm St, Bristow, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154527265.

Contact Information

Dr Jay Wade Pettit, DDS
112 N Elm St,
Bristow, OK 74010-2424
(918) 367-5900
(918) 367-3226



Healthcare Provider's Profile

Full NameDr Jay Wade Pettit
GenderMale
SpecialityDentist - General Practice
Location112 N Elm St, Bristow, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154527265
  • Provider Enumeration Date: 06/25/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jay Wade Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154527265NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 4885 (Oklahoma)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jay Wade Pettit is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jay Wade Pettit, DDS
112 N Elm St,
Bristow, OK 74010-2424

Ph: (918) 367-5900
Dr Jay Wade Pettit, DDS
112 N Elm St,
Bristow, OK 74010-2424

Ph: (918) 367-5900

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Dentist in Bristow, OK

Dr. Meridith Tinnin, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 221 E 7th Ave, Bristow, OK 74010
Phone: 918-367-3290    Fax: 918-367-6446
Deborah A. Corwin, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 221 E 7th Ave, Bristow, OK 74010
Phone: 918-367-3290    
Amanda Hendrickson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 121 N Main St, Bristow, OK 74010
Phone: 918-367-3361    Fax: 918-367-7076
James O Corwin, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 221 E 7th Ave, Bristow, OK 74010
Phone: 918-367-3290    

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