Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790777183 Individual Practitioner Male Practitioner

Dr. Ray Scott Jeter , DMD

Dentist - General Practice • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Ray Jeter, DMD is a registered healthcare professional specializing in Dentist - General Practice in Augusta, GA. Practice services are available at 1430 JOHN WESLEY GILBERT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1430 John Wesley Gilbert Dr

Augusta, GA 309120001

Telephone 7067212881

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
124 Specialists

Practicing in Augusta, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DNF000407

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License SC 2874

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. William Bachand , DDS

Dentist - General Practice

NPI 1457390205

Doctor of Dental Surgery

Dr. David Kim , DMD

Student in an Organized Health Care Education/Training Program

NPI 1497147037

Doctor of Dental Medicine

Dr. Maurice Lewis , DDS

Dentist - General Practice

NPI 1730261066

Doctor of Dental Surgery

Veerinder Pannu , BDS, MS

Dentist - Oral and Maxillofacial Radiology

NPI 1760814982

BDS, Master of Science

Dr. Abu Nazmul-Hossain , DDS, MSC, PhD

Dentist - General Practice

NPI 1821472697

Doctor of Dental Surgery, Master of Science, Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2021

Dentist (License #2874 in SC)

📍
Updated Practice Location March 23, 2021

Registered at 1430 JOHN WESLEY GILBERT DR, AUGUSTA, GA 309120001 (Tel: 7067212881)

📍
Updated Business Mailing Address March 23, 2021

Registered at 1430 JOHN WESLEY GILBERT DR, AUGUSTA, GA 309120001 (Tel: 7067212881)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2021

Dentist (License #DNF000407 in GA)

📍
Updated Practice Location March 02, 2021

Registered at AU DENTAL ASSOCIATES 1430 JOHN WESLEY GILBETT DR, AUGUSTA, GA 309120001 (Tel: 7067212881)

📍
Updated Business Mailing Address March 02, 2021

Registered at AU DENTAL ASSOCIATES 1430 JOHN WESLEY GILBERT DR, AUGUSTA, GA 309120001 (Tel: 7067212881)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2021

Dentist (License #2874 in SC)

NPI Profile Active August 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2017

Registered at 1120 15TH ST # GC-4338, AUGUSTA, GA 309120001 (Tel: 7067212881)

📍
Updated Business Mailing Address August 10, 2017

Registered at 1434 GLENN AVE, AUGUSTA, GA 309045374 (Tel: (757) 331-0662)

👤
Provider Name / Credentials Updated August 10, 2017

Recorded as RAY JETER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2017

Dentist (License #2874 in SC)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at PENTAGON TRI-SERVICE DENTAL CLINIC, 5802 ARMY PENTAGON, WASHINGTON, DC 203100001 (Tel: 7036928750)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5405 FRANCY ADAMS CT, FAIRFAX, VA 220322907 (Tel: 7032781716)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RAY JETER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2874 in SC)

🟢
Initial NPI Registration & Enumeration August 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790777183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2005
Last Update: February 19, 2026
Sole Proprietor: No

Mailing Address

1430 John Wesley Gilbert Dr

Augusta, GA 309120001

Phone: 7067212881

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.