Timothy David Petty, DMD
Timothy David Petty, DMD is a Student in an Organized Health Care Education/Training Program in Pueblo, Colorado. Licensed in Colorado and New Mexico. Registered with an NPI since 2022.
- Licensed in
- CO, NM
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
Pueblo, CONo coordinates on file. Search this address in Google Maps
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DEN.00205534 (CO) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (NM) |
Record details
| NPI number | 1699418921 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | No |
| NPI enumerated | April 14, 2022 |
| Last updated in NPPES | July 7, 2023 |
| Certification date | July 7, 2023 |
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