Individual
DR. ERNEST GARY JEFFORDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
474 NORTH ST, BAMBERG, SC 29003-1318
(803) 245-5545
(803) 245-5534
Mailing address
PO BOX 8, 443 HIGHLAND CIRCLE, BAMBERG, SC 29003-0008
(803) 245-5454
(803) 245-5534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1806
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1806
LICENSE
SC
Enumeration date
02/07/2007
Last updated
07/08/2007
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