| Timothy David Petty, DMD | |
|
1800 Fortino Blvd Unit 1, Pueblo, CO 81008-1891 | |
| (719) 545-1400 | |
| Not Available |
| Full Name | Timothy David Petty |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1800 Fortino Blvd Unit 1, Pueblo, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699418921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN.00205534 (Colorado) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (New Mexico) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy David Petty, DMD 2554 S Krameria St, Denver, CO 80222-7139 Ph: (720) 434-0757 | Timothy David Petty, DMD 1800 Fortino Blvd Unit 1, Pueblo, CO 81008-1891 Ph: (719) 545-1400 |
Dr. Ricardo Sosa Silva, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 729 W Us Highway 50, Pueblo, CO 81008 Phone: 719-542-4000 |
Dr. Joseph P Zufall, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1930 E Orman Ave, Pueblo, CO 81004 Phone: 719-564-2842 |
Jair Flores, Dentist Medicare: Not Enrolled in Medicare Practice Location: 24 Club Manor Dr Ste 202, Pueblo, CO 81008 Phone: 719-406-2078 |
Dr. James Allen Bergles, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1560 Bonforte Blvd, Pueblo, CO 81001 Phone: 719-544-5340 Fax: 719-583-2206 |
Dr. Mun J. Choi, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2030 Lake Ave, Pueblo, CO 81004 Phone: 719-564-4823 Fax: 719-564-4858 |
Dr. Tony Leon Roberts, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 517 W 5th St, Ste 106, Pueblo, CO 81003 Phone: 719-542-6014 Fax: 719-583-7937 |
Michael Anthony Derose, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1022 Liberty Ln, Pueblo, CO 81001 Phone: 719-545-5778 |