OrganizationActive
Jay W. Pettit DDS Inc.
NPI 1164585097 · General Practice Dentistry · Bristow, OK
Provider details
- NPI number
- 1164585097
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jay Pettit, President(918) 367-5900
- License
- 4885 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
112 N Elm St
Bristow, OK 74010-2424
Phone: (918) 367-5900
Fax: (918) 367-3226
Street-level locationGet directions
Mailing address
112 N Elm St
Bristow, OK 74010-2424
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.