Individual
DR. CRAIG C PETTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10551 MILLS RD, HOUSTON, TX 77070-4601
(281) 469-7469
(281) 894-6189
Mailing address
10551 MILLS RD, HOUSTON, TX 77070-4601
(281) 469-7469
(281) 894-6189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10732
STATE LICENSE NUMBER
TX
01
—
742006349
TAX IDENTIFICATION NUMBER
TX
Enumeration date
04/03/2007
Last updated
07/08/2007
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