Jeffrey Bennett Jeter in Shreveport - General Practice

Jeffrey Bennett Jeter - NPI 1366456279

Jeffrey Bennett Jeter is a General Practice in Shreveport, Louisiana. Jeffrey Bennett Jeter practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Bennett Jeter is 1366456279. The last update date is 2007-07-08.

Jeffrey Bennett Jeter's current location address is 230 Carroll St Ste 3, Shreveport, Louisiana. You can contact this provider via phone number 3188692593 and fax number 3188692592. The mailing address for Jeffrey Bennett Jeter is 230 Carroll St Ste 3, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Bennett Jeter
Address 230 Carroll St Ste 3, Shreveport, Louisiana
Phone Number 3188692593
Fax Number 3188692592
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1366456279
Provider Enumeration Date 2006-07-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 230 Carroll St Ste 3
City Shreveport
State Louisiana (LA)
Post Code 711054248
Phone Number 3188692593
Fax Number 3188692592

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No LA3101
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Jeffrey Bennett Jeter

What is the unique 10-digit identification code assigned to Jeffrey Bennett Jeter by the Centers for Medicare & Medicaid Services?

The Jeffrey Bennett Jeter has been issued the NPI (National Provider Identifier) 1366456279, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jeffrey Bennett Jeter is physically located?

The Jeffrey Bennett Jeter is physically situated at the following address: 230 Carroll St Ste 3, Shreveport, LA, 711054248.

What is Jeffrey Bennett Jeter's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jeffrey Bennett Jeter is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1366456279 to Jeffrey Bennett Jeter?

The Centers for Medicare & Medicaid Services assigned the 1366456279 to Jeffrey Bennett Jeter on 2006-07-28.

As of what date was the information pertaining to Jeffrey Bennett Jeter, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeffrey Bennett Jeter, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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