NPPES file of Aug 9, 2026

Jackson Petty, DDS

General Practice Dentistry · Tullahoma, TN

Jackson Petty, DDS is a general practice dentistry with a practice address in Tullahoma, Tennessee, and NPI 1417565193, issued on Jul 17, 2020. Check the license (Tennessee 11423, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417565193
Name
Jackson Petty
Credential
DDS
Primary taxonomy
General Practice Dentistry 1223G0001X
License numbers
11423 TN
204657 CO
Self-reported in NPPES; status is on the state search
Practice location
2118 N Jackson St, Tullahoma, TN 37388
Phone
(931) 454-9499
Enumerated
Jul 17, 2020
Record last updated
Jan 21, 2025
Fax
(931) 454-9499
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest general practice dentistry records → All 2,023 in Tennessee → Look up another NPI →

Also registered at 2118 N Jackson St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. John Petty, DMDGeneral Practice Dentistry1558352997

Verify Jackson Petty in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
    Search for license 11423    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Tennessee license search

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84% fewer Medicare Part D claims than the average general practice dentistry in 2024

13 Medicare Part D claims for 11 beneficiaries, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D.

  1. Jackson Petty13
  2. Specialty average83

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Jackson Petty among 2,023 general practice dentistry records in Tennessee

Jackson Petty, DDS is one of 2,023 general practice dentistry records with a practice address in Tennessee. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 83% of them.

  • NPI issued2020 · 83% of these records are older, 15% newer
  • In a Medicare fileYes · 68% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2025 · 70% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

14 general practice dentistry records list a practice address in Tullahoma

They are 14 of the 587 NPPES records with a practice address in Tullahoma, and 2,023 general practice dentistry records in Tennessee.

All 2,023 in Tennessee → Every provider in Tullahoma → General Practice Dentistry nationwide →

The 8 general practice dentistry records with the nearest ZIP codes

  1. Christopher Anderson, DDSTullahoma, TN 373881528137742
  2. Edward Beavers, DDSTullahoma, TN 373881194933028
  3. Philip Biles, DDSTullahoma, TN 373881598891251
  4. Clark Cressman, D.D.S.Tullahoma, TN 373881457524175
  5. Janette Gardner, D.D.S.Tullahoma, TN 373881144374109
  6. Kim Glick, D.D.S.Tullahoma, TN 373881992785711
  7. Dale Hunter, D.M.D.Tullahoma, TN 373881912945734
  8. Harold Long, D.D.S.Tullahoma, TN 373881184635203

Common questions

What is Jackson Petty, DDS's NPI number?

Jackson Petty, DDS's National Provider Identifier (NPI) is 1417565193, issued on Jul 17, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Jackson Petty, DDS located?

The NPPES record lists a practice address at 2118 N Jackson St, Tullahoma, TN, 37388. Phone: (931) 454-9499. Providers update this record themselves, so call before visiting.

How can I verify Jackson Petty, DDS's license?

NPPES lists Tennessee license number 11423, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.

How much does Jackson Petty, DDS prescribe under Medicare Part D?

In 2024, Jackson Petty, DDS had 13 Medicare Part D claims for 11 beneficiaries; the average among general practice dentistry prescribers was 83. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.