NPIMap

Organization Active NPI

Terrance L. Jeter, DMD, PC

  • Dentist
  • Decatur, GA
National Provider Identifier
1215567201
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TERRANCE L. JETER, DMD, PC
Practice address
1770 Candler Rd
Decatur, GA 30032-3277
Phone
(404) 289-2772
Fax
(404) 289-1139
NPI assigned
Jan 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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

Authorized official

Name
Dr. Terrance L Jeter, DMDNPI 1932247194
Title
President
Phone
(404) 289-2772

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1770 Candler Rd
Decatur, GA 30032-3277

Mailing address

1770 Candler Rd
Decatur, GA 30032-3277
Phone (404) 289-2772

Other practice location 1

275 14th St NW Ste 110
Atlanta, GA 30318-9100
Phone (470) 428-4240

Other names 1

  • Dr. Terrance L. Jeter & Associates Doing business as

National Provider Directory

National Provider Directory

Locations

275 14th St NW
Ste 110
Atlanta, GA 30318
Phone (470) 428-4240

Practitioners & affiliated clinicians

Practitioners 2

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": "1579392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579392000000",
    "number": "1215567201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323277",
            "telephone_number": "404-289-2772",
            "fax_number": "404-289-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323277",
            "telephone_number": "404-289-2772",
            "fax_number": "404-289-1139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 14th St NW Ste 110",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303189100",
            "country_code": "US",
            "telephone_number": "470-428-4240",
            "fax_number": "678-705-7138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TERRANCE L. JETER, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-289-2772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Terrance L. Jeter & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; 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.