Organization
HAL S. JETER, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY DUTY (OFFICE MANAGER)
(740) 377-2020
Entity
Organization
Contact information
Practice address
804 4TH ST E, SOUTH POINT, OH 45680-9117
(740) 377-2020
Mailing address
PO BOX 517, SOUTH POINT, OH 45680-0517
(740) 377-2020
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3053270
—
OH
05
—
7100118710
—
KY
Enumeration date
03/09/2010
Last updated
06/07/2017
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