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General NPI Number Information
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NPI Number | 1326931437
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Entity Type | Individual
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Provider Name | JERRY ALONZA JARRETT JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 2310 CRAVEN ST
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City | SAN DIEGO
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State | CA
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Zip | 92136-5596
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Country | US
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Telephone | 619-556-8240
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Fax |
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Provider Business Mailing Address
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Address Line | 1129 CHIPPING CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6803
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Country | US
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Telephone | 757-831-8404
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1
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License Number State | VA
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