NPI 1003220526

Richard Allen Jeter, DMD

Practitioner Public Health Dentistry Campbellsville, KY

Practice location

Address: 230 Warren Pl, Campbellsville, KY 42718-9618
Phone: (270) 789-2087

Registered specialties

Public Health Dentistry Primary

Dental Providers Taxonomy 1223D0001X Licence 5355 (KY)

Other Dentist providers in Kentucky →

Registry record

NPI: 1003220526
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2014
Record last updated: 12 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.