Timothy David Petty, DMD
Timothy David Petty, DMD is a Student in an Organized Health Care Education/Training Program in Pueblo, Colorado. Licensed in Colorado and New Mexico. Registered with an NPI since 2022.
- Licensed in
- CO, NM
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
1800 Fortino Blvd Unit 1Pueblo, CO 81008-1891
Phone: (719) 545-1400
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 DEN.00205534 (CO) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (NM) |
Record details
| NPI number | 1699418921 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | No |
| NPI enumerated | April 14, 2022 |
| Last updated in NPPES | July 7, 2023 |
| Certification date | July 7, 2023 |
| Mailing address | 2554 S Krameria St, Denver, CO 80222-7139 |
Other providers in Pueblo
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Sunay Patel, DO
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Uday Patel
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Prutha Rohit Pathak, MBBS, MPH
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Dr. Donald Ross Patrick Jr., MD
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Dr. Jigisha Hareshbhai Rakholiya, MD
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Kathryn Raphael
2200 Bonforte Blvd, Pueblo, CO 81001-4901 · (719) 549-2100
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Dr. Dillin Rhatigan, DO
400 W 16th St, Pueblo, CO 81003-2745 · (719) 584-4000
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Eric Ringer, DDS
3691 Parker Blvd Ste 200, Pueblo, CO 81008 · (719) 212-0777