Mary T Pettiette, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6076 Issued in NC

Practice address

91 Aviemore Dr
Pinehurst, NC 28374-9797

Phone

(910) 295-9950

Fax

(801) 640-9294

NPI assigned

Jan 25, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James M. Musselwhite, DDS, Ms, PA

  • Endodontics
  • Pinehurst, NC
  • NPI 1619905288
  NPD (past)
• James R. Corcoran, DDS, PA

  dba Pinehurst Endodontics

  • Endodontics
  • Pinehurst, NC
  • NPI 1053617902
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609846302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-295-9950",
            "fax_number": "801-640-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-295-9950",
            "fax_number": "801-640-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIETTE",
        "first_name": "MARY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "6076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Peschken
• Mary Peterson-Suri, MD
• Abigail R Peterson, PA
• Carrie Jones Peterson, NP-C
• Jordan Christine Petrolino
• Rebecca E Pettigrew, PA-C
• Kathryn Pezzi, MS, CCC-SLP
• Philip G. Mondi, M.D., P.a.
• Philipp C Wirth MD PLLC
• Ashlyn Phillips

• Endodontics in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.