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TIMOTHY DAVID PETTY DMD
NPI 1699418921
Dentist - General Practice in Pueblo, CO

Active since April 14, 2022
1800 FORTINO BLVD UNIT 1, PUEBLO, CO 81008(719) 545-1400 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2023, Apr 14, 2022 (2 updates tracked since 2022).

About Timothy David Petty Dmd NPPES

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

TIMOTHY DAVID PETTY DMD (NPI 1699418921) is an individual general practice provider in Pueblo, Colorado, licensed in Colorado (DEN.00205534) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1699418921
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTIMOTHY DAVID PETTYCredential: DMD
Location Address1800 FORTINO BLVD UNIT 1Pueblo, CO 81008-1891
Mailing Address2554 S Krameria StDenver, CO 80222-7139 · (720) 434-0757
Phone(719) 545-1400
Sole ProprietorNo
Enumeration DateApril 14, 2022
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
✔ NPI 1699418921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · DEN.00205534
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1800 FORTINO BLVD UNIT 1, Pueblo, CO 81008
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

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

ADVANTAGE DENTAL GROUP
Dentist
1800 FORTINO BLVD UNIT 1
PUEBLO, CO 81008
Pueblo County (719) 545-1400

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 Timothy Petty's NPI number?

The NPI number for Timothy Petty is 1699418921. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Timothy Petty located?

Timothy Petty practices at 1800 Fortino Blvd Unit 1, Pueblo, CO 81008. The listed phone number is (719) 545-1400.

What is Timothy Petty's specialty?

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

What insurance does Timothy Petty accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Timothy Petty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Petty was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.