John Vernon Jetty in Waterloo - General Practice

John Vernon Jetty - NPI 1689730327

John Vernon Jetty is a General Practice in Waterloo, New York. John Vernon Jetty practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Vernon Jetty is 1689730327. The last update date is 2007-07-08.

John Vernon Jetty's current location address is 86 Center St, Waterloo, New York. You can contact this provider via phone number 3155393051 and fax number 3155393051. The mailing address for John Vernon Jetty is 86 Center St, Waterloo, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name John Vernon Jetty
Address 86 Center St, Waterloo, New York
Phone Number 3155393051
Fax Number 3155393051
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1689730327
Provider Enumeration Date 2006-12-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 86 Center St
City Waterloo
State New York (NY)
Post Code 131651026
Phone Number 3155393051
Fax Number 3155393051

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 34169
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 John Vernon Jetty

What is the unique provider identifier assigned to John Vernon Jetty?

The John Vernon Jetty has been issued the NPI (National Provider Identifier) 1689730327 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where John Vernon Jetty is geographically located?

The John Vernon Jetty is physically situated at the following location: 86 Center St, Waterloo, NY, 131651026.

What is John Vernon Jetty's area of expertise and its corresponding taxonomy classification?

The John Vernon Jetty's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date did the John Vernon Jetty receive its 1689730327 assignment from the Centers for Medicare & Medicaid Services?

The John Vernon Jetty was assigned its 1689730327 by the Centers for Medicare & Medicaid Services on 2006-12-28.

When was the information pertaining to John Vernon Jetty most recently updated or revised?

The details related to John Vernon Jetty, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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