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Active NPI 1558352997 Individual Practitioner Male Practitioner

Dr. John E Petty , DMD

Dentist - General Practice • Tullahoma, TN

Professional Overview & Biography Verified Profile Summary

Dr. John Petty, DMD is a registered healthcare professional specializing in Dentist - General Practice in Tullahoma, TN. Practice services are available at 2118 N JACKSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2118 N Jackson St

Tullahoma, TN 373882208

Telephone 9314549499
Fax 9314540007
Associated Practice Facility / Clinic
🏢 Petty Dental, Pllc Facility NPI 1215747100

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tullahoma, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
14 Specialists

Practicing in Tullahoma, TN (2175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN D50000004108

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Jackson Petty , DDS

Dentist - General Practice

NPI 1417565193

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2118 N JACKSON ST, TULLAHOMA, TN 373882208 (Tel: 9314549499)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2118 N JACKSON ST, TULLAHOMA, TN 373882208 (Tel: 9314549499)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN PETTY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D50000004108 in TN)

🟢
Initial NPI Registration & Enumeration November 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558352997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

2118 N Jackson St

Tullahoma, TN 373882208

Phone: 9314549499

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.