Dr. Scott Robert Jett
Periodontist
6495 N Palm Ave Ste 105
Fresno
, California 93704-1063
Dr. Scott Robert Jett
Periodontist
6495 N Palm Ave Ste 105
Fresno
, California 93704-1063
(559) 237-5700
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Scott Robert Jett
- 1016 N College Ave
- Fresno, CA
- Zip : 93728-3519
- Phone : (559) 237-5700
Second Address
- Dr. Scott Robert Jett
- 6495 N Palm Ave Ste 105
- Fresno, CA
- Zip : 93704-1063
- Fax : (559) 436-0958
- Phone : (559) 436-8101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 48124 | CA |
National Provider Identifier
| NPI | 1043308364 |
|---|---|
| Provider Name | Dr. Scott Robert Jett |
| First Address | Fresno, CA 93728-3519 |
| Second Address | Fresno, CA 93704-1063 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.