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

Melissa Sue Petty

Individual provider Dental Hygienist · NPI 1598627580

Melissa Sue Petty is a Dental Hygienist in Placerville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

9951 State Highway 193
Placerville, CA 95667-7403
Phone: (707) 419-1626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 30672 (CA)

Record details

NPI number1598627580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 27, 2025
Last updated in NPPESNovember 27, 2025
Certification dateNovember 27, 2025

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