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

Dr. Jackson Petty, DDS

Individual provider General Practice Dentistry · NPI 1417565193

Dr. Jackson Petty, DDS is a General Practice Dentistry in Tullahoma, Tennessee. Licensed in Colorado and Tennessee. Registered with an NPI since 2020.

Licensed in
CO, TN
In the registry since
2020
Specialties on file
2
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

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

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11423 (TN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 204657 (CO)

Record details

NPI number1417565193
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 17, 2020
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address2118 N Jackson St, Tullahoma, TN 37388-2208

Other providers in Tullahoma