Derek Andrew Petty, DDS

Dentist · Arlington, TX

Individual Active NPI

NPI number 1356930648

Practice location

4050 W Interstate 20
Arlington, TX 76017-1435
Phone
(903) 519-9134

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NPI record

NPI
1356930648
Entity type
Individual (Type 1)
Enumeration date
January 12, 2021
Last updated
January 12, 2021
Certified
January 12, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 36800 TX

Mailing address

2801 Live Oak St Apt 5203
Dallas, TX 75204-5732
Phone
(903) 519-9134

About Dr. Petty

Derek Andrew Petty, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4050 W Interstate 20, Arlington, TX 76017-1435. The NPI number 1356930648 was assigned on January 12, 2021 and the record was last updated on January 12, 2021.

Dr. Petty lists a license in the registry: #36800 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derek Andrew Petty, DDS?

The NPI number is 1356930648.

What is the phone number of Dr. Petty?

The phone number listed for the practice location is (903) 519-9134.

Where is Dr. Petty located?

4050 W Interstate 20, Arlington, TX 76017-1435.

What is the taxonomy code for Dr. Petty?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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