Individual provider · Type 1 NPI

Jackson Petty, DDS

General Practice Dentistry · Tullahoma, TN

NPI number 1417565193 Active

Practice location

2118 N Jackson St
Tullahoma, TN 37388-2208

Call (931) 454-9499 Map

Fax (931) 454-9499

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X204657 (CO)
General Practice Dentistry Primary 1223G0001X11423 (TN)

General Practice Dentistry: 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.

2 other providers at this address

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About NPI 1417565193

Jackson Petty, DDS's National Provider Identifier is 1417565193, issued on Jul 17, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tullahoma, TN. The record was last updated on Jan 21, 2025.