J. Lee Pettigrew, D.D.S.

General Practice Dentistry · Southlake, TX

Individual Active NPI

NPI number 1477699031

Practice location

201 Players Circle
Suite #100
Southlake, TX 76092
Phone
(817) 481-4888

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NPI record

NPI
1477699031
Entity type
Individual (Type 1)
Enumeration date
January 30, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 15943 TX

About Dr. Pettigrew

J. Lee Pettigrew, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 201 Players Circle, Suite #100, Southlake, TX 76092. The NPI number 1477699031 was assigned on January 30, 2007 and the record was last updated on July 8, 2007.

Dr. Pettigrew lists a license in the registry: #15943 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of J. Lee Pettigrew, D.D.S.?

The NPI number is 1477699031.

What is the phone number of Dr. Pettigrew?

The phone number listed for the practice location is (817) 481-4888.

Where is Dr. Pettigrew located?

201 Players Circle, Suite #100, Southlake, TX 76092.

What is the taxonomy code for Dr. Pettigrew?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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