OrganizationActive
J Lee Pettigrew DDS PA
NPI 1619364114 · Dental Clinic/Center · Southlake, TX
J Lee Pettigrew DDS PA is a Dental Clinic/Center organization in Southlake, TX (NPI 1619364114).
Provider details
- NPI number
- 1619364114
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Pettigrew, Owner(817) 481-4888
- License
- 15943 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
201 Players Cir
Ste 100
Southlake, TX 76092-6944
Phone: (817) 481-4888
Fax: (817) 421-7370
Street-level locationGet directions
Mailing address
201 Players Cir
Southlake, TX 76092-6944
Registry dates
- Enumerated
- 2015-04-22
- Last updated
- 2015-04-22
Frequently asked questions
- What is J Lee Pettigrew DDS PA's NPI number?
- J Lee Pettigrew DDS PA's National Provider Identifier (NPI) is 1619364114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is J Lee Pettigrew DDS PA?
- J Lee Pettigrew DDS PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is J Lee Pettigrew DDS PA located?
- J Lee Pettigrew DDS PA's practice location on file with NPPES is 201 Players Cir, Southlake, TX 76092-6944.
- What is J Lee Pettigrew DDS PA's phone number?
- The practice phone number listed in the NPPES registry for J Lee Pettigrew DDS PA is (817) 481-4888.
- Who is the authorized official for J Lee Pettigrew DDS PA?
- The authorized official listed on J Lee Pettigrew DDS PA's NPPES record is Jerry Pettigrew, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is J Lee Pettigrew DDS PA's NPI active?
- Yes — J Lee Pettigrew DDS PA's NPI (1619364114) is active in the NPPES registry as of the last update on 2015-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.