Individual
MR. KEVIN BENJAMIN JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
322 WEST MAIN ST., LEXINGTON, SC 29072
(803) 719-4187
(803) 719-4189
Mailing address
4023 FOREST DR., COLUMBIA, SC 29204
(803) 782-7722
(803) 233-6355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8557
SC
1223E0200X
Endodontics
Primary
10301
SC
Other
Enumeration date
06/17/2015
Last updated
04/26/2024
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