OrganizationActive
Petty Dental, PLLC
NPI 1215747100 · Dental Clinic/Center · Tullahoma, TN
Petty Dental, PLLC is a Dental Clinic/Center organization in Tullahoma, TN (NPI 1215747100).
Provider details
- NPI number
- 1215747100
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jackson Petty, Owner(931) 454-9499
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2118 N Jackson St
Tullahoma, TN 37388-2208
Phone: (931) 454-9499
Fax: (931) 454-9499
Street-level locationGet directions
Mailing address
2118 N Jackson St
Tullahoma, TN 37388-2208
Registry dates
- Enumerated
- 2025-01-13
- Last updated
- 2025-01-13
- Certified
- 2025-01-12
Frequently asked questions
- What is Petty Dental, PLLC's NPI number?
- Petty Dental, PLLC's National Provider Identifier (NPI) is 1215747100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petty Dental, PLLC?
- Petty Dental, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Petty Dental, PLLC located?
- Petty Dental, PLLC's practice location on file with NPPES is 2118 N Jackson St, Tullahoma, TN 37388-2208.
- What is Petty Dental, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Petty Dental, PLLC is (931) 454-9499.
- Who is the authorized official for Petty Dental, PLLC?
- The authorized official listed on Petty Dental, PLLC's NPPES record is Jackson Petty, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petty Dental, PLLC's NPI active?
- Yes — Petty Dental, PLLC's NPI (1215747100) is active in the NPPES registry as of the last update on 2025-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.