IndividualActive
Dennis Pettit, DDS
NPI 1356354765 · Oral and Maxillofacial Pathology Dentistry · Fairborn, OH
Provider details
- NPI number
- 1356354765
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 30018161 (OH)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1762 Commerce Center Blvd
Fairborn, OH 45324-6358
Phone: (937) 878-8694
Approximate (ZIP-level) locationGet directions
Mailing address
1762 Commerce Center Blvd
Fairborn, OH 45324
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2008-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.