TIMOTHY JAMES PETTIS D.D.S
NPI 1437603339
Dentist in Milwaukee, WI

Q: What is Timothy Pettis's NPI number?

The NPI number for Timothy Pettis is 1437603339. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Q: What is Timothy Pettis'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 Timothy Pettis was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 09, 2016

5000 W NATIONAL AVE, MILWAUKEE, WI 53295(414) 384-2000 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Timothy James Pettis D.d.s NPPES

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

TIMOTHY JAMES PETTIS D.D.S (NPI 1437603339) is an individual dentist in Milwaukee, Wisconsin, licensed in Wisconsin (1001406-15) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1437603339

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTIMOTHY JAMES PETTISCredential: D.D.S

Location Address5000 W NATIONAL AVEMilwaukee, WI 53295-0001

Mailing Address706 E Juneau Ave # 3Milwaukee, WI 53202-2709 · (402) 206-1986

Phone(414) 384-2000

Sole ProprietorNo

Enumeration DateAugust 9, 2016

✔ NPI 1437603339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WI · 1001406-15

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.

5000 W NATIONAL AVE, Milwaukee, WI 53295

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

DR. NATALIA SCHWARTZ PHARM.D, RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)