DR. JOHN VERNON JETTY D.D.S.
NPI 1689730327
Dentist - General Practice in Waterloo, NY

Q: What is John Jetty's NPI number?

The NPI number for John Jetty is 1689730327. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Q: What is John Jetty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for John Jetty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2006

86 CENTER ST, WATERLOO, NY 13165(315) 539-3051(315) 539-3051 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. John Vernon Jetty D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN VERNON JETTY D.D.S. (NPI 1689730327) is an individual general practice provider in Waterloo, New York, licensed in New York (034169) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1689730327

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHN VERNON JETTYCredential: D.D.S.

Location Address86 CENTER STWaterloo, NY 13165-1026

Mailing Address86 Center StWaterloo, NY 13165-1026 · (315) 539-3051 · Fax (315) 539-3051

Phone(315) 539-3051

Fax(315) 539-3051

Sole ProprietorYes

Enumeration DateDecember 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689730327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 034169

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

86 CENTER ST, Waterloo, NY 13165

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Jetty's NPI number?

The NPI number for John Jetty is 1689730327. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is John Jetty located?

John Jetty practices at 86 Center St, Waterloo, NY 13165. The listed phone number is (315) 539-3051.

What is John Jetty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for John Jetty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.