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Organization
ERNEST GARY JEFFORDS DMD PA
Active
Organization
ERNEST GARY JEFFORDS DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST GARY JEFFORDS DMD (PRESIDENT)
(803) 245-5545
Entity
Organization
Contact information
Practice address
474 NORTH ST, BAMBERG, SC 29003-1318
(803) 245-5545
(803) 245-5534
Mailing address
PO BOX 8, BAMBERG, SC 29003-0008
(803) 245-5454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1806
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z18062
—
SC
Enumeration date
05/21/2006
Last updated
07/09/2008
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