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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.