Jett Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JETT DENTAL, LLC

Practice address

2329 Devine St
Columbia, SC 29205-2431

Phone

(803) 799-3368

Fax

(803) 799-3504

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John Benjamin Jett, DMD

Title

Dentist

Phone

(803) 799-3368

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1801259775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052431",
            "telephone_number": "803-799-3368",
            "fax_number": "803-799-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052431",
            "telephone_number": "803-799-3368",
            "fax_number": "803-799-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETT DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "JETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "803-799-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trondi Jerry, LPC
• Vicky Ann Jervis-Rozycki, RN, BSN
• Elizabeth Jessen, APRN
• Jessica M Jarman LLC
• Sandra Jeter
• Carron Jett
• Julianne Turner Jett, MD
• Lorin Jett, LPC-A
• Monica Jezior, O.D.
• JG Williams Holding Co (Home Health Initiatives)

• Dental Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.