Jackson Petty, DDS
General Dentistry · Tullahoma, TN
UnclaimedDDSNPI 1417565193
- Primary taxonomy
- 1223G0001X
- Enumerated
- 2020-07-17
- Practice location
- Tullahoma, TN
- Last NPPES update
- 2025-01-21
State licenses
- CO · Dentist · NPPES self-reportedListed on NPI record
- TN · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.