P Praxis·MD
● Active Type 2 · Organization

J Lee Pettigrew DDS PA

Clinic/Center·Southlake, TX· NPI 1619364114 · Enumerated 2015 · 11 years on NPI
J Lee Pettigrew DDS PA is 1 of 1762 clinic/center organizations in Texas.
NPI age
11 years
Enumerated 2015-04-22
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pettigrew
Owner
Last NPPES update
2015-04-22
Source: monthly bulk 2026-05

How this organization compares

Across 1762 active clinic/center providers in Texas.

NPI age
11 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
201 Players Cir, Ste 100
Southlake, TX 760926944
📞 8174814888fax 8174217370
Mailing address
201 Players Cir, Ste 100
Southlake, TX 760926944
📞 8174814888fax 8174217370

Authorized official

Jerry Lee Pettigrew, DDS
Owner
📞 8174814888

Specialties

  • Clinic/Center Primary
    Definition to come...
    TX license #15943 taxonomy 261QD0000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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