Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD ALLEN JETER, DMD
Active Sole ProprietorDental Public Health · CAMPBELLSVILLE, KY
Registration Details
- NPI Number
- 1003220526
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2014 (11.859624580059 yrs)
- Last Updated
- Jun 12, 2014
- License
-
5355 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
230 WARREN PLCAMPBELLSVILLE, KY, 427189618Browse KY providers · Browse ZIP 42718
- Phone
- 2707892087
- Primary Specialty
-
Dental Public Health
1223D0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.