Individual
DR. ALLISON GLENN PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12385 CRABAPPLE RD STE 100, ALPHARETTA, GA 30004-6357
(732) 757-8055
Mailing address
12385 CRABAPPLE RD STE 100, ALPHARETTA, GA 30004-6357
(732) 757-8055
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
060552
NY
1223P0221X
Pediatric Dentistry
22DI02820000
NJ
1223P0221X
Pediatric Dentistry
Primary
DN122940
GA
1223P0221X
Pediatric Dentistry
DN23876
FL
Other
Enumeration date
04/18/2018
Last updated
08/29/2024
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