Jeter, Thomas S
Jeter, Thomas S is an sole proprietor health care provider with primary practice located at 303 W Harris Ave Ste 2, San Angelo TX 76903-6377. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Jeter, Thomas S can be contacted via phone (325) 658-6519.Contact Information
Primary practice address
303 W Harris Ave Ste 2
San Angelo TX 76903-6377
Phone: (325) 658-6519
Fax: (325) 658-6510
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 9602 | Texas |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | F1680 | Texas |
Profile Details
NPI number | 1740282748 |
---|---|
LBN Legal business name | Jeter, Thomas S |
Credentials | MD, DDS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 10th, 2005 |
Last updated | Jan 6th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740282748 | NPPES |
Other | 00T570 | BCBS |
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