DR. SCOTT ROBERT JETT


Address: 6495 N Palm Ave Ste 105, Fresno, CA 93704-1063
Phone: 5594368101

DR. SCOTT ROBERT JETT (NPI# 1043308364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043308364
Entity Type Individual
Full Name DR. SCOTT ROBERT JETT
Credential D.M.D., M.S.
Practice Address 6495 N Palm Ave Ste 105
Fresno
CA 93704-1063
Mailing Address 1016 N College Ave
Fresno
CA 93728-3519
Practice Telephone 5594368101
Practice Fax Number 5594360958
Mailing Telephone 5592375700
Enumeration Date 2006-10-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
48124 CA Dental Providers

Office Location

Street Address 6495 N PALM AVE STE 105
City FRESNO
State CA
Zip Code 93704-1063

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093090466 Jennifer H Yun Pharmacist 5747 North Palm, Fresno, CA 93704 2011-10-18
1437395704 Kenneth L. Hallstone Marriage & Family Therapist 4040 N. Wilson St., Fresno, CA 93704 2008-12-17
1811147796 Kenneth S. Masumoto Dds Inc Dentist 430 W. Shaw, Fresno, CA 93704 2008-09-26
1578760526 Wanda Kay Gordon Mcintosh Social Worker 5588 N Palm Ave # 10, Fresno, CA 93704 2007-07-02
1285839456 Alison Elise Armstrong-conner Psychologist 6475 N. Palm Avenue, Suite 101, Fresno, CA 93704 2007-06-18
1952519498 Henry Truong Student in an Organized Health Care Education/Training Program 615 E. Clinton Ave., Fresno, CA 93704 2007-05-18
1205042900 Michelle Kathleen Gash Clinic/Center 5464 N Palm Ave # 101, Fresno, CA 93704 2007-05-16
1467674705 Loyds Liberty Homes, Inc Intermediate Care Facility, Mentally Retarded 6520 North Colonial, Fresno, CA 93704 2007-05-03
1952522559 Dawn Keisha Denise Aholu Occupational Therapist 5180 N. Palm, Suite 102, Fresno, CA 93704 2007-05-01
1235359191 Yolanda Rodriguez Andreatta Dental Hygienist 310 W Shaw, Fresno, CA 93704 2007-04-25
Find all providers in zip 93704

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528516994 Sophia Tseng Dentist 1406 E Alluvial Ave # 101, Fresno, CA 93720-2606 2016-09-14
1407163801 Thomas E Bramanti Sr. Dentist 5660 N Fresno St, Suite #110, Fresno, CA 93710-8343 2010-09-07
1235379454 Ryan Ellis Dentist 5479 N Fresno St Ste 104, Fresno, CA 93710-8328 2009-02-27
1790966455 Gerald J. Pieroni Dentist 7760 N Fresno St Ste 105, Fresno, CA 93720-2411 2007-11-21
1275743080 Dee Christiaan Nishimine Dentist 1406 E Alluvial Ave, #101, Fresno, CA 93720-2606 2007-05-23
1750418604 Alexander Pritsky Dentist 7045 N Chestnut Ave, #102, Fresno, CA 93720-0354 2007-02-27
1477608537 Suraiya Rahman Dentist 2956 E El Paso Ave, Fresno, CA 93720-6412 2007-01-25
1992859086 James Ward Van Volkinburg Dentist 5479 N Fresno St, Suite 104, Fresno, CA 93710-8328 2007-01-23
1306930748 Paul L. Michaelides Dentist 2503 W. Shaw, Suite 105, Fresno, CA 93711-3309 2006-10-02
1992808299 Dennis Nmi Nishimine Dentist 1406 E Allluvial Ave, Suite 101, Fresno, CA 93720-2606 2006-09-06
Find all providers in FRESNO

Competitor

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City FRESNO
Zip Code 93704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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