Individual
DR. BENJAMIN B JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7535 NORTHSIDE DR, N CHARLESTON, SC 29420-4211
(843) 797-3355
(843) 797-3641
Mailing address
7535 NORTHSIDE DR, N CHARLESTON, SC 29420-4211
(843) 797-3355
(843) 797-3641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7025
SC
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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