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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 Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BERNARD L JETER SR · (Male)

NPI # 1003951864
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/20/2007
Last updated 10/06/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 13691
  • CA License # 23523
  • CA Other B 23523 01 DENTICAL
  • CA Other 862543 UNITED CONCORDIA
Hospital affiliation(s) Not Available
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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