| Hal S. Jeter, Dds, Inc. | |
|
804 4th St E South Point OH 45680-9117 | |
| (740) 377-2020 | |
| Not Available |
| Full Name | Hal S. Jeter, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 804 4th St E, South Point, Ohio |
| Authorized Official Name and Position | Kelsey Duty (OFFICE MANAGER) |
| Authorized Official Contact | 7403772020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hal S. Jeter, Dds, Inc. Po Box 517 South Point OH 45680-0517 Ph: (740) 377-2020 | Hal S. Jeter, Dds, Inc. 804 4th St E South Point OH 45680-9117 Ph: (740) 377-2020 |
| NPI Number | 1710200589 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 06/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710200589 | NPI | - | NPPES |
| 3053270 | Medicaid | OH | |
| 7100118710 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Farley Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Park Ave, South Point, OH 45680 Phone: 740-377-2219 Fax: 740-377-4987 |