Dr. Jackson Petty is a Tullahoma, Tennessee based Dentist who is specialized in
General Practice Dentistry. does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jackson Petty is
11423 for General Practice Dentistry in Tennessee. current practice location is
2118 N Jackson St, Tullahoma. Patients can reach at
931-454-9499.
Dr. Jackson Petty is the primary dental care provider for patients of all ages. is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jackson Petty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jackson Petty |
| Specialization: | Dentist |
| Gender: | U |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2118 N Jackson St, Tullahoma,
Tennessee, 37388-2208 |
| Phone: | 931-454-9499 |
| Fax: | 931-454-9499 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1417565193 |
| NPI Enumeration Date: | 17 Jul, 2020 |
| NPI Last Update On: | 21 Jan, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jackson Petty are as mentioned below.
| License Number | Specialization | State | Status | |
| 11423 | General Practice Dentistry | Tennessee | Primary | |
| 204657 | General Practice Dentistry | Colorado | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2118 N Jackson St,
Tullahoma, Tennessee |
| Zip: | 37388-2208 |
| Phone Number: | 931-454-9499 |
| Fax Number: | 931-454-9499 |
Patients can reach Dr. Jackson Petty at
2118 N Jackson St, Tullahoma, Tennessee or can
call to book an appointment on 931-454-9499.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.