Active NPI
Your Joyful Smile Dental-Tucker, LLC
- General Practice Dentistry
- Tucker, GA
National Provider Identifier
1700467602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- YOUR JOYFUL SMILE DENTAL-TUCKER, LLC
- Practice address
- 3577 Habersham at Northlake BLDG L
Tucker, GA 30084-4001 - Phone
- (404) 289-2772
- Fax
- (404) 289-1139
- NPI assigned
- Apr 21, 2021
- 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. Terrance DMD Jeter, DMD
- Title
- President
- Phone
- (404) 289-2772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3577 Habersham at Northlake BLDG L
Tucker, GA 30084-4001
Mailing address
1770 Candler Rd
Decatur, GA 30032-3277
Phone (404) 289-2772
Other names 1
- DR. TERRANCE L. JETER & ASSOCIATES, TUCKER
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@drtjeter.com | Direct |
National Provider Directory
National Provider DirectoryLocations
1770 Candler Rd
Decatur, GA 30032
Phone (404) 289-2772
3577 Habersham At Northlake
Bldg L
Tucker, GA 30084
Phone (404) 289-2772
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Decatur, GA
- NPI 1932247194
-
- Dentist
- Duluth, GA
- NPI 1376292995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618963200000",
"number": "1700467602",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3577 HABERSHAM AT NORTHLAKE BLDG L",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844001",
"telephone_number": "404-289-2772",
"fax_number": "404-289-1139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR JOYFUL SMILE DENTAL-TUCKER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-21",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A",
"authorized_official_last_name": "JETER",
"authorized_official_first_name": "TERRANCE",
"authorized_official_middle_name": "DMD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-289-2772",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@drtjeter.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3577 Habersham At Northlake Bldg L",
"city": "Tucker",
"state": "GA",
"country_code": "US",
"postal_code": "300844001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "DR. TERRANCE L. JETER & ASSOCIATES, TUCKER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.