National Provider Identifier Database

BERNARD L JETER SR, DDS – NPI #1003951864
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

BERNARD L JETER SR, DDS
805 W. ACEQUIA AVE
#2B
VISALIA, CA93291
Phone: 559-739-8400
Fax: 559-739-8333
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for BERNARD L JETER SR

NPI Number 1003951864
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/20/2007
Last updated 10/06/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 13691
  • CA License #: 23523
  • CA Other: B 23523 01 DENTICAL
  • CA Other: 862543 UNITED CONCORDIA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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