# JETT AND SELLERS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891852307
- **Authorized official:** MRS. EDITH M DODD (OFFICE MGR)
- **Authorized official phone:** (757) 483-2110

## Contact information

- **Practice address:** 3116 TYRE NECK RD, PORTSMOUTH, VA 23703-4512
- **Practice address phone:** (757) 483-2110
- **Practice address fax:** (757) 686-0679
- **Mailing address:** 3116 TYRE NECK RD, PORTSMOUTH, VA 23703-4512
- **Mailing address phone:** (757) 483-2110
- **Mailing address fax:** (757) 686-0679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | S011456-3 | VA | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 11/12/2013