Individual provider · Type 1 NPI
Timothy David Petty, DMD
General Practice Dentistry · Pueblo, CO
NPI number
1699418921
Active
Practice location
1800 Fortino Blvd Unit 1
Pueblo, CO 81008-1891
Mailing address
2554 S Krameria St
Denver, CO 80222-7139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Dentistry Primary | 1223G0001X | DEN.00205534 (CO) |
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
Other general practice dentistry providers in Pueblo
- Mun J. Choi, DDSGeneral Practice Dentistry Pueblo, CO NPI 1023111937
- Tony Leon Roberts, DDSGeneral Practice Dentistry Pueblo, CO NPI 1033118815
- Michael Anthony DeroseGeneral Practice Dentistry Pueblo, CO NPI 1033185871
- Elmer Alex Villalon, DMDGeneral Practice Dentistry Pueblo, CO NPI 1033232590
- Kyle S. Schulz, DDSGeneral Practice Dentistry Pueblo, CO NPI 1043284284
- Pawel Robert Bielecki, DDSGeneral Practice Dentistry Pueblo, CO NPI 1063686681
- Ronald James Ragulsky, DDS, L.L.CGeneral Practice Dentistry Pueblo, CO NPI 1104938356
- Jamie L. Johnson, DDSGeneral Practice Dentistry Pueblo, CO NPI 1114925955
About NPI 1699418921
Timothy David Petty, DMD's National Provider Identifier is 1699418921, issued on Apr 14, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pueblo, CO. The record was last updated on Jul 7, 2023.