Dr Jackson Petty, DDS - Dentist in Alamosa, CO

Dr Jackson Petty, DDS is a Dentist - General Practice based in Alamosa, Colorado. Dr Jackson Petty is licensed to practice in Colorado (license number 204657) and his current practice location is 128 Market St, Alamosa, Colorado. He can be reached at his office (for appointments etc.) via phone at (719) 587-1001.

NPI number for Dr Jackson Petty is 1417565193 and his current mailing address is 128 Market St, Alamosa, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417565193.

Contact Information

Dr Jackson Petty, DDS
128 Market St,
Alamosa, CO 81101-2290
(719) 587-1001
(719) 589-5722



Healthcare Provider's Profile

Full NameDr Jackson Petty
GenderMale
SpecialityDentist - General Practice
Location128 Market St, Alamosa, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417565193
  • Provider Enumeration Date: 07/17/2020
  • Last Update Date: 07/19/2021

Medical Identifiers

Medical identifiers for Dr Jackson Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417565193NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 11423 (Tennessee)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
1223G0001XDentist - General Practice 204657 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jackson Petty is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jackson Petty, DDS
128 Market St,
Alamosa, CO 81101-2290

Ph: (719) 587-1001
Dr Jackson Petty, DDS
128 Market St,
Alamosa, CO 81101-2290

Ph: (719) 587-1001

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› Verified 1 days ago


Dentist in Alamosa, CO

Dr. Stephen J. Schiffer, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 128 Market St, Alamosa, CO 81101
Phone: 719-587-1001    
Dr. Carl Thomas Warrington, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Edison Ave, Alamosa, CO 81101
Phone: 719-589-4953    Fax: 719-587-9946
Dr. Darrell G. Jackson, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2405 Mullins Ave, Alamosa, CO 81101
Phone: 719-589-5272    Fax: 719-589-5300
Phillip James Haram, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 128 Market Street, Alamosa, CO 81101
Phone: 719-589-9691    Fax: 719-587-9148
Rocky E Horton, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1322 Main St, Alamosa, CO 81101
Phone: 719-992-2016    Fax: 719-992-2028
Dr. Aimee Louise Martinez, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 128 Market St, Alamosa, CO 81101
Phone: 719-589-9691    
Dr. Frank Arthur Welch, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 206 Crestone Ave, Alamosa, CO 81101
Phone: 719-489-2067    Fax: 719-489-2068

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