Jeter, Terrance L.
Jeter, Terrance L. is an sole proprietor health care provider with primary practice located at 1770 Candler Rd , Decatur GA 30032-3277. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jeter, Terrance L. can be contacted via phone (404) 688-1350.Contact Information
Primary practice address
1770 Candler Rd
Decatur GA 30032-3277
Phone: (404) 688-1350
Fax: (404) 688-2962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN10799 | Georgia |
| Dental Providers / General Practice | 1223G0001X | 10799 | Georgia |
Profile Details
| NPI number | 1932247194 |
|---|---|
| LBN Legal business name | Jeter, Terrance L. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jan 19th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932247194 | NPPES |
| Georgia | MEDICAID | 9180930 |
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