| Jett Dental, Llc | |
|
2329 Devine St Columbia SC 29205-2431 | |
| (803) 799-3368 | |
| (803) 799-3504 |
| Full Name | Jett Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2329 Devine St, Columbia, South Carolina |
| Authorized Official Name and Position | John Benjamin Jett (DENTIST) |
| Authorized Official Contact | 8037993368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jett Dental, Llc 2329 Devine St Columbia SC 29205-2431 Ph: (803) 799-3368 | Jett Dental, Llc 2329 Devine St Columbia SC 29205-2431 Ph: (803) 799-3368 |
| NPI Number | 1801259775 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 07/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801259775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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