Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Daniel S Petty, DDS

Individual provider General Practice Dentistry · NPI 1912927088

Dr. Daniel S Petty, DDS practises General Practice Dentistry in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

12711 SE Mill Plain Blvd
Vancouver, WA 98684-6053 Not confirmed with CMS for 19 years — call before visiting
Phone: (360) 896-4484
Fax: (360) 896-4489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE00005473 (WA)

Record details

NPI number1912927088
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 8, 2007

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