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
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:
03 Oct, 2024
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:
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:
314-549-4999
Patients can reach Dr. Jackson Petty at 2118 N Jackson St, Tullahoma, Tennessee or can call to book an appointment on 931-454-9499. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.