Active NPI
Scott R Jett DMD Ms Inc
- Dental Clinic/Center
- Fresno, CA
National Provider Identifier
1669083093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SCOTT R JETT DMD MS INC
- Practice address
- 1243 E Spruce Ave
Suite 101
Fresno, CA 93720-9372 - Phone
- (559) 436-8101
- NPI assigned
- Aug 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Jett, DMD MS
- Title
- Owner/Dentist
- Phone
- (559) 436-8101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1243 E Spruce Ave
Suite 101
Fresno, CA 93720-9372
Mailing address
1243 E Spruce Ave
Suite 101
Fresno, CA 93720
Phone (559) 436-8101
Other names 1
- Advanced Perio Endo Experts
National Provider Directory
National Provider DirectoryLocations
1243 E Spruce Ave
Ste 101
Fresno, CA 93720
Phone (559) 439-7226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597017600000",
"number": "1669083093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 E SPRUCE AVE",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "559-436-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 E SPRUCE AVE",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937209372",
"telephone_number": "559-436-8101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT R JETT DMD MS INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A",
"authorized_official_last_name": "JETT",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "559-436-8101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD MS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Perio Endo Experts",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.