Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Petty Dental, PLLC

Organization Dental Clinic/Center · NPI 1215747100

Petty Dental, PLLC is a Dental Clinic/Center in Tullahoma, Tennessee. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2118 N Jackson St
Tullahoma, TN 37388-2208
Phone: (931) 454-9499
Fax: (931) 454-9499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1215747100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackson Petty — Owner · (931) 454-9499
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 12, 2025
Mailing address2118 N Jackson St, Tullahoma, TN 37388-2208

Other providers in Tullahoma