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Search › Tennessee › General Practice Dentistry

Jackson Petty, DDS

NPI 1417565193 · on the registry since 2020

Practice

Address
2118 N Jackson St
Tullahoma, TN 37388
Phone
(931) 454-9499
Fax
(931) 454-9499
Organisation at this address
Petty Dental, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
General Practice Dentistry
Licence states on file
CO, TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee