Organization Active NPI

Jett and Sellers PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Portsmouth, VA
National Provider Identifier
1891852307
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
S011456-3 Issued in VA
Legal business name
JETT AND SELLERS PC
Practice address
3116 Tyre Neck Rd
Portsmouth, VA 23703-4512
Phone
(757) 483-2110
Fax
(757) 686-0679
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Mrs. Edith M Dodd
Title
Office MGR
Phone
(757) 483-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X S011456-3 VA Primary

Addresses

Primary practice location

3116 Tyre Neck Rd
Portsmouth, VA 23703-4512

Mailing address

3116 Tyre Neck Rd
Portsmouth, VA 23703-4512
Phone (757) 483-2110

National Provider Directory

National Provider Directory

Locations

3116 Tyre Neck Rd
Portsmouth, VA 23703
Phone (757) 483-2110

Practitioners & affiliated clinicians

Practitioners 1

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1891852307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 TYRE NECK RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034512",
            "telephone_number": "757-483-2110",
            "fax_number": "757-686-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 TYRE NECK RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034512",
            "telephone_number": "757-483-2110",
            "fax_number": "757-686-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETT AND SELLERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "757-483-2110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "S011456-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.