MEDICARE: DR. HAROLD STEWART JETER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	8417	KY
2	1223G0001X	General Practice Dentistry	30-02-0354	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811980006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD STEWART JETER D.D.S.

Provider Business Mailing Address
First Line	:	804 4TH ST E
Second Line	:	P.O. BOX 517
City	:	SOUTH POINT
State	:	OH
Zip	:	45680-9117
Country	:	US
Telephone Number	:	740-377-2020
Fax Number	:	740-377-4961

Provider Business Practice Location Address
First Line	:	804 4TH ST E
Second Line	:
City	:	SOUTH POINT
State	:	OH
Zip	:	45680-9117
Country	:	US
Telephone Number	:	740-377-2020
Fax Number	:	740-377-4961

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	06/07/2017

Similar Medicare Providers

1710200589 — HAL S. JETER, DDS, INC.
Practice Location Address:

804 4TH ST E
SOUTH POINT, OH
45680-9117

Practice Phone: 740-377-2020
Practice Fax:

1023683927 — MIRANDA JOAN MELVIN DMD
Practice Location Address:

804 4TH ST E
SOUTH POINT, OH
45680-9117

Practice Phone: 740-377-2020
Practice Fax: 740-377-4961

1720055015 — DENTAL HEALTH CENTER, S.C.
Practice Location Address:

5541 US HIGHWAY 10 E , SUITE A
STEVENS POINT, WI
54481-9117

Practice Phone: 715-344-7911
Practice Fax: 715-344-7912

1134220445 — NEW DIRECTIONS COUNSELING CENTER, LLC
Practice Location Address:

5541 US HIGHWAY 10 E , STE B
STEVENS POINT, WI
54481-9117

Practice Phone: 715-345-9690
Practice Fax: 715-345-2938

1932244688 — DR. PAUL JAMES KOEHL D.D.S.
Practice Location Address:

5541 US HIGHWAY 10 E , SUITE A
STEVENS POINT, WI
54481-9117

Practice Phone: 715-344-7911
Practice Fax: 715-344-7912

1063973113 — DENISE COLLETTA
Practice Location Address:

110 LONGVIEW AVE
ROCKY POINT, NY
11778-9117

Practice Phone: 347-665-4752
Practice Fax: 929-208-4517

Directions to “ DR. HAROLD STEWART JETER D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.