DR. Jackson Petty, DDS
NPI #1417565193 in Tullahoma, Tennessee
Provider Information
- NPI Number
- 1417565193
- Entity Type
- Individual
- Name
- DR. Jackson Petty, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 17, 2020
- Last Updated
- Jan 21, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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