DEREK ANDREW PETTY DDS
NPI 1356930648
Dentist in Arlington, TX

Q: What is Derek Petty's NPI number?

The NPI number for Derek Petty is 1356930648. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Q: What is Derek Petty's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Petty was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since January 12, 2021

4050 W INTERSTATE 20, ARLINGTON, TX 76017(903) 519-9134 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Derek Andrew Petty Dds NPPES

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

DEREK ANDREW PETTY DDS (NPI 1356930648) is an individual dentist in Arlington, Texas, licensed in Texas (36800) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1356930648

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDEREK ANDREW PETTYCredential: DDS

Location Address4050 W INTERSTATE 20Arlington, TX 76017-1435

Mailing Address2801 Live Oak St Apt 5203Dallas, TX 75204-5732 · (903) 519-9134

Phone(903) 519-9134

Sole ProprietorNo

Enumeration DateJanuary 12, 2021

NPPES CertifiedJanuary 12, 2021

✔ NPI 1356930648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 36800

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4050 W INTERSTATE 20, Arlington, TX 76017

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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 Derek Petty's NPI number?

The NPI number for Derek Petty is 1356930648. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is Derek Petty located?

Derek Petty practices at 4050 W Interstate 20, Arlington, TX 76017. The listed phone number is (903) 519-9134.

What is Derek Petty's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Derek Petty was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.