David C Pettey, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10349 Issued in TN

Practice address

6603 Summer Knoll CV
Bartlett, TN 38134-2859

Phone

(901) 373-7144

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1710048384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 SUMMER KNOLL CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342859",
            "telephone_number": "901-373-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 SUMMER KNOLL CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342859",
            "telephone_number": "901-373-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTEY",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3012-97",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer April Peacock, MSW, BCBA
• Marcel Antonette Pearson
• Alundra Renee Peete
• David Michael Pencarinha
• Samantha Elizabeth Person-Aldridge, DNP, PMHNP-BC,FNP-BC
• Kari Nhi Pham, PA-C
• Steven Pham, PT, DPT
• Linh Phan
• D'Ajanee Phelps, OD
• Janise Shamel Phillips, LPC-MHSP (TEMP)

• General Practice Dentistry in Bartlett, TN
• Providers in Bartlett, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.