| Jason Jeter & Lagelle Jeter Dds, Inc. | |
|
805 W. Acequia Ave #2b Visalia CA 93291-6164 | |
| (559) 739-8400 | |
| (559) 739-8333 |
| Full Name | Jason Jeter & Lagelle Jeter Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 805 W. Acequia Ave, Visalia, California |
| Authorized Official Name and Position | Jason L Jeter (CO OWNER) |
| Authorized Official Contact | 5597398400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Jeter & Lagelle Jeter Dds, Inc. 805 W. Acequia Ave #2b Visalia CA 93291-6164 Ph: (559) 739-8400 | Jason Jeter & Lagelle Jeter Dds, Inc. 805 W. Acequia Ave #2b Visalia CA 93291-6164 Ph: (559) 739-8400 |
| NPI Number | 1699069377 |
|---|---|
| Provider Enumeration Date | 05/31/2011 |
| Last Update Date | 05/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699069377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46614 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 23523 (California) | Secondary |
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