Individual
DR. TERRANCE L. JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1770 CANDLER RD, DECATUR, GA 30032-3277
(404) 688-1350
(404) 688-2962
Mailing address
1770 CANDLER RD, DECATUR, GA 30032-3277
(404) 289-2772
(404) 289-1139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10799
GA
1223G0001X
General Practice Dentistry
DN10799
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9180930
—
GA
Enumeration date
02/01/2007
Last updated
01/19/2020
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