Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689714917 Individual Practitioner Male Practitioner

Dr. Wilbur P Pettitt , DDS

Dentist - General Practice • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Wilbur Pettitt, DDS is a registered healthcare professional specializing in Dentist - General Practice in Chicago, IL. Practice services are available at 2020 W 79TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2020 W 79th St

Chicago, IL 606205720

Telephone 7734886700
Fax 7734886753
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019-01112

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Christopher Taylor , LCPC

Counselor - Mental Health

NPI 1790003879

Licensed Clinical Professional Counselor

Cherie Barnes , NCC, LPC

Counselor - Professional

NPI 1801120431

National Certified Counselor, Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2020 W 79TH ST, CHICAGO, IL 606205720 (Tel: 7734886700)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2020 W 79TH ST, CHICAGO, IL 606205720 (Tel: 7734886700)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WILBUR PETTITT, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #019-01112 in IL)

🟢
Initial NPI Registration & Enumeration February 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689714917
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

2020 W 79th St

Chicago, IL 606205720

Phone: 7734886700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.