Dr. Jackson Petty is a Alamosa, Colorado based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jackson Petty is 204657 for General Practice Dentistry in Colorado. His current practice location is 128 Market St, Alamosa. Patients can reach him at 719-587-1001.
Dr. Jackson Petty is the primary dental care provider for patients of all ages. He 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:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
128 Market St, Alamosa, Colorado, 81101-2290
Phone:
719-587-1001
Fax:
719-589-5722
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:
19 Jul, 2021
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
204657
General Practice Dentistry
Colorado
Primary
11423
General Practice Dentistry
Tennessee
Secondary
Student in an Organized Health Care Education/Training Program
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:
128 Market St, Alamosa, Colorado
Zip:
81101-2290
Phone Number:
719-587-1001
Fax Number:
719-589-5722
Patients can reach Dr. Jackson Petty at 128 Market St, Alamosa, Colorado or can call to book an appointment on 719-587-1001. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.