Scott Robert Jett in Fresno - Periodontics

Scott Robert Jett - NPI 1043308364

Scott Robert Jett is a Periodontics in Fresno, California. Scott Robert Jett practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Scott Robert Jett is 1043308364. The last update date is 2007-07-08.

Scott Robert Jett's current location address is 6495 N Palm Ave Ste 105, Fresno, California. You can contact this provider via phone number 5594368101 and fax number 5594360958. The mailing address for Scott Robert Jett is 6495 N Palm Ave Ste 105, Fresno, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott Robert Jett
Address 6495 N Palm Ave Ste 105, Fresno, California
Phone Number 5594368101
Fax Number 5594360958
Sole Proprietor Y
Credentials D.M.D., M.

NPI Number Detail

NPI Number 1043308364
Provider Enumeration Date 2006-10-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6495 N Palm Ave Ste 105
City Fresno
State California (CA)
Post Code 937041063
Phone Number 5594368101
Fax Number 5594360958

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 48124
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Scott Robert Jett

What is the unique provider identifier assigned to Scott Robert Jett?

The Scott Robert Jett has been issued the NPI (National Provider Identifier) 1043308364 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Scott Robert Jett located?

The Scott Robert Jett is located at 6495 N Palm Ave Ste 105, Fresno, CA 937041063.

What is the Scott Robert Jett's specialty and taxonomy code?

The Scott Robert Jett's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.

On what date was the 1043308364 assigned to Scott Robert Jett?

The Scott Robert Jett was issued its 1043308364 on 2006-10-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Scott Robert Jett most recently updated or revised?

The information pertaining to Scott Robert Jett, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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