Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHN E PETTY DMD
NPI 1558352997
Dentist - General Practice in Tullahoma, TN

Active since November 03, 2005
2118 N JACKSON ST, TULLAHOMA, TN 37388(931) 454-9499(931) 454-0007 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John E Petty Dmd NPPES

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

DR. JOHN E PETTY DMD (NPI 1558352997) is an individual general practice provider in Tullahoma, Tennessee, licensed in Tennessee (D50000004108) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1558352997
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN E PETTYCredential: DMD
Location Address2118 N JACKSON STTullahoma, TN 37388-2208
Mailing Address2118 N Jackson StTullahoma, TN 37388-2208 · (931) 454-9499 · Fax (931) 454-0007
Fax(931) 454-0007
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1558352997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TN · D50000004108
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2118 N JACKSON ST, Tullahoma, TN 37388

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.

Clinic/Center (Dental)
2118 N JACKSON ST
TULLAHOMA, TN 37388
Dentist (General Practice)
2118 N JACKSON ST
TULLAHOMA, TN 37388

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 John Petty's NPI number?

The NPI number for John Petty is 1558352997. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is John Petty located?

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

What is John Petty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for John Petty was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.