Kathleen A Petit, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30-02-0367 Issued in OH

Practice address

2400 Wales Ave NW
Ste B
Massillon, OH 44646-2366

Phone

(330) 833-2619

Fax

(330) 833-6987

NPI assigned

Jun 22, 2005

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679579064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW",
            "address_2": "STE B",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462366",
            "telephone_number": "330-833-2619",
            "fax_number": "330-833-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW",
            "address_2": "STE B",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462366",
            "telephone_number": "330-833-2619",
            "fax_number": "330-833-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETIT",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-02-0367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Meadows Perry
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• Brandi June Peters
• Amanda Lynn Petersen, CDCA
• Mashayla Peterson
• Melisa Petti, CRNA
• Tiffany Marie Piccari, APRN, FNP-C
• Karen M. Pilarski, DO
• Hannah Pittman
• Eugene D Pogorelec

• Dentist in Massillon, OH
• Providers in Massillon, OH by specialty
• Dentist in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.