John E Petty is a General Practice in Tullahoma, Tennessee. John E Petty practices all healthcare services and medical treatments related to General Practice. The NPI Number for John E Petty is 1558352997. The last update date is 2007-07-08.
John E Petty's current location address is 2118 N Jackson St, Tullahoma, Tennessee. You can contact this provider via phone number 9314549499 and fax number 9314540007. The mailing address for John E Petty is 2118 N Jackson St, Tullahoma, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John E Petty |
|---|---|
| Address | 2118 N Jackson St, Tullahoma, Tennessee |
| Phone Number | 9314549499 |
| Fax Number | 9314540007 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1558352997 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2118 N Jackson St |
|---|---|
| City | Tullahoma |
| State | Tennessee (TN) |
| Post Code | 373882208 |
| Phone Number | 9314549499 |
| Fax Number | 9314540007 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D50000004108 |
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Definition: 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. |
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What is the John E Petty's unique identification number?
The John E Petty has been assigned the NPI (National Provider Identifier) Number 1558352997 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the John E Petty's physical address?
The John E Petty is physically located at 2118 N Jackson St, in the city of Tullahoma, TN, with the postal code 373882208.
What is the area of specialization for John E Petty, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John E Petty is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558352997 to John E Petty?
The Centers for Medicare & Medicaid Services assigned the 1558352997 to John E Petty on 2005-11-03.
As of what date was the information regarding John E Petty, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John E Petty, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY