Dr. Eric O Pettit is a Liverpool, New York based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Eric O Pettit is
0246409 for Pediatric Dentistry in New York. His current practice location is
4820 West Taft Road, Suite 204, Liverpool. Patients can reach him at
315-457-2011.
Dr. Eric O Pettit provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Eric O Pettit speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Eric O Pettit |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4820 West Taft Road, Suite 204, Liverpool,
New York, 13088 |
| Phone: | 315-457-2011 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1124019088 |
| NPI Enumeration Date: | 31 Oct, 2005 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Eric O Pettit are as mentioned below.
| License Number | Specialization | State | Status | |
| 0246409 | Pediatric Dentistry | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Eric O Pettit such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00562249 | Medicaid | New York | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4820 West Taft Road, Suite 204
Liverpool, New York |
| Zip: | 13088 |
| Phone Number: | 315-457-2011 |
Patients can reach Dr. Eric O Pettit at
4820 West Taft Road, Suite 204, Liverpool, New York or can
call to book an appointment on 315-457-2011.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.