Organization
PETTY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON PETTY DDS (OWNER)
(931) 454-9499
Entity
Organization
Contact information
Practice address
2118 N JACKSON ST, TULLAHOMA, TN 37388-2208
(931) 454-9499
(931) 454-9499
Mailing address
2118 N JACKSON ST, TULLAHOMA, TN 37388-2208
(931) 454-9499
(931) 454-9499
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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