Jeter, Harold Stewart

Jeter, Harold Stewart is an individual health care provider with primary practice located at 804 4Th St E , South Point OH 45680-9117. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Jeter, Harold Stewart can be contacted via phone (740) 377-2020.

Contact Information

Primary practice address
804 4Th St E South Point OH 45680-9117
Phone: (740) 377-2020
Fax: (740) 377-4961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8417 Kentucky
Dental Providers / General Practice 1223G0001X 30-02-0354 Ohio

Profile Details

NPI number 1811980006
LBN Legal business name Jeter, Harold Stewart
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jun 7th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811980006 NPPES
Ohio MEDICAID 3053270
Ohio MEDICAID 7100118710

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