NPIMap

Organization Active NPI

Jeter & Welch Dentistry LLC

  • Dentist
  • N Charleston, SC
National Provider Identifier
1144516055
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1906 Issued in SC
Legal business name
JETER & WELCH DENTISTRY LLC
Practice address
7535 Northside Dr
N Charleston, SC 29420-4211
Phone
(843) 797-3355
Fax
(843) 797-3641
NPI assigned
Jun 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Benjamin B Jeter, DMDNPI 1306132006
Title
Owner/Dentist
Phone
(843) 797-3355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 1906 SC Primary

Addresses

Primary practice location

7535 Northside Dr
N Charleston, SC 29420-4211

Mailing address

7535 Northside Dr
N Charleston, SC 29420-4211
Phone (843) 797-3355

National Provider Directory

National Provider Directory

Locations

7535 Northside Dr
North Charleston, SC 29420
Phone (843) 797-3355

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1144516055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 NORTHSIDE DR",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294204211",
            "telephone_number": "843-797-3355",
            "fax_number": "843-797-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 NORTHSIDE DR",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294204211",
            "telephone_number": "843-797-3355",
            "fax_number": "843-797-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETER & WELCH DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "843-797-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "1906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.