1. Home
  2. Directory
  3. Tennessee
  4. Tullahoma
  5. Clinic Center
  6. NPI Profile

PETTY DENTAL, PLLC
NPI 1215747100
Clinic/Center - Dental in Tullahoma, TN

Active since January 13, 2025
2118 N JACKSON ST, TULLAHOMA, TN 37388(931) 454-9499(931) 454-9499 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Petty Dental, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETTY DENTAL, PLLC (NPI 1215747100) is a healthcare organization registered as a dental in Tullahoma, Tennessee and active in the NPI registry since January 2025. The organization lists Jackson Petty, Owner, as its authorized official.

NPPES Registry Identity

NPI1215747100
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePETTY DENTAL, PLLC
Location Address2118 N JACKSON STTullahoma, TN 37388-2208
Mailing Address2118 N Jackson StTullahoma, TN 37388-2208 · (931) 454-9499 · Fax (931) 454-9499
Phone(931) 454-9499
Fax(931) 454-9499
Organization SubpartNo
Authorized OfficialJackson PettyOwner · (931) 454-9499
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 12, 2025
✔ NPI 1215747100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2118 N JACKSON ST, Tullahoma, TN 37388
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACKSON PETTY DDS
Dentist (General Practice)
2118 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 454-9499
DR. JOHN E PETTY DMD
Dentist (General Practice)
2118 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 454-9499

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petty Dental, PLLC's NPI number?

The NPI number for Petty Dental, PLLC is 1215747100. It was assigned to this organization in the NPPES registry on January 13, 2025.

Where is Petty Dental, PLLC located?

Petty Dental, PLLC is located at 2118 N Jackson St, Tullahoma, TN 37388. The listed phone number is (931) 454-9499.

What is Petty Dental, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Petty Dental, PLLC was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.