| Dr Jackson Petty, DDS | |
|
2118 N Jackson St, Tullahoma, TN 37388-2208 | |
| (931) 454-9499 | |
| (931) 454-9499 |
| Full Name | Dr Jackson Petty |
|---|---|
| Gender | |
| Speciality | Dentist - General Practice |
| Location | 2118 N Jackson St, Tullahoma, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417565193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 204657 (Colorado) | Secondary |
| 1223G0001X | Dentist - General Practice | 11423 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jackson Petty, DDS 2118 N Jackson St, Tullahoma, TN 37388-2208 Ph: (931) 454-9499 | Dr Jackson Petty, DDS 2118 N Jackson St, Tullahoma, TN 37388-2208 Ph: (931) 454-9499 |
Dr. Gracia Maria Amaya Garcia, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1513 N Jackson St, Tullahoma, TN 37388 Phone: 615-498-2260 | |
Dr. Michael Mckinnie, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2111 N Jackson St Ste 109, Tullahoma, TN 37388 Phone: 931-455-0950 | |
Dr. J Randall Smith, D.D.S.,M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 S Jackson St, Tullahoma, TN 37388 Phone: 931-455-0146 Fax: 931-393-3863 | |
Dr. Janette Gayle Gardner, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 211 E Lincoln St, Tullahoma, TN 37388 Phone: 931-455-2595 Fax: 931-455-4728 | |
Harold Michael Long, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 211 E Lincoln St, Tullahoma, TN 37388 Phone: 931-455-2595 Fax: 931-455-4728 | |
Edward Lee Beavers, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 603 Nw Atlantic St, Tullahoma, TN 37388 Phone: 931-455-3501 | |
Dr. Steve Randall Lynn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 601 Nw Atlantic St, Tullahoma, TN 37388 Phone: 931-455-8003 Fax: 931-455-1797 |