| A. Gil Pettit Iii, D.d.s., P.a. | |
|
9111 Market St Unit B Wilmington NC 28411-7995 | |
| (910) 686-3619 | |
| (910) 686-7165 |
| Full Name | A. Gil Pettit Iii, D.d.s., P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9111 Market St, Wilmington, North Carolina |
| Authorized Official Name and Position | Alvin Gilderoy Pettit (OWNER) |
| Authorized Official Contact | 9106863619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A. Gil Pettit Iii, D.d.s., P.a. 9111 Market St Unit B Wilmington NC 28411-7995 Ph: (910) 686-3619 | A. Gil Pettit Iii, D.d.s., P.a. 9111 Market St Unit B Wilmington NC 28411-7995 Ph: (910) 686-3619 |
| NPI Number | 1649441098 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649441098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5676 (North Carolina) | Primary |
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