Search › Colorado › 1223G0001X
Timothy Petty, DMD
NPI 1699418921 · on the registry since 2022
Practice
- Address
- 1800 Fortino Blvd Unit 1
Pueblo, CO 81008 - Phone
- (719) 545-1400
- Organisation at this address
- Advantage Dental Group
My Local Colorado Dental Practice, Llc
Excellence In Dentistry Of Pueblo One Pllc
Anesthesia And Pain Management Service Of PuebloInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- NM, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado