Organization
JETT DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BENJAMIN JETT DMD (DENTIST)
(803) 799-3368
Entity
Organization
Contact information
Practice address
2329 DEVINE ST, COLUMBIA, SC 29205-2431
(803) 799-3368
(803) 799-3504
Mailing address
2329 DEVINE ST, COLUMBIA, SC 29205-2431
(803) 799-3368
(803) 799-3504
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2016
Last updated
07/01/2016
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