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DR. DANIEL S PETTY DDS
NPI 1912927088
Dentist - General Practice in Vancouver, WA

Active since July 20, 2006
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684(360) 896-4484(360) 896-4489 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Daniel S Petty Dds NPPES

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

DR. DANIEL S PETTY DDS (NPI 1912927088) is an individual general practice provider in Vancouver, Washington, licensed in Washington (DE00005473) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912927088
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DANIEL S PETTYCredential: DDS
Location Address12711 SE MILL PLAIN BLVDVancouver, WA 98684-6053
Mailing Address17146 Se 23rd Dr, Unit 53Vancouver, WA 98683-4314 · (360) 883-5396
Phone(360) 896-4484
Fax(360) 896-4489
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912927088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00005473
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.
12711 SE MILL PLAIN BLVD, Vancouver, WA 98684
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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.

SVETLANA ANENKO
Dental Assistant
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
DR. JOHN ROBERT SUNDELL D.D.S.
Dentist (General Practice)
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
MS. MARY AGNES GUBALA RDH
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
TAMERA JANCZE RDH
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
CHARITY REBECCA ASHWORTH RDH
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
KAISER PERMANENTE DENTAL CARE PROGRAM
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
NORA L. MCDERMOTT EFODA
Dental Assistant
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
RAMINTA ISAI RDH
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 513-5987

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 Daniel Petty's NPI number?

The NPI number for Daniel Petty is 1912927088. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Daniel Petty located?

Daniel Petty practices at 12711 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (360) 896-4484.

What is Daniel 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 Daniel Petty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.