Organization
JETT AND SELLERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH M DODD (OFFICE MGR)
(757) 483-2110
Entity
Organization
Contact information
Practice address
3116 TYRE NECK RD, PORTSMOUTH, VA 23703-4512
(757) 483-2110
(757) 686-0679
Mailing address
3116 TYRE NECK RD, PORTSMOUTH, VA 23703-4512
(757) 483-2110
(757) 686-0679
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S011456-3
VA
Other
Enumeration date
01/03/2007
Last updated
11/12/2013
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