Organization
JEBEDIAH S. CHRISTY, D.D.S - CONWAY, PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JEBEDIAH SHEPHERD CHRISTY DDS (OWNER)
(843) 438-4210
Entity
Organization
Contact information
Practice address
2756 CHURCH ST, CONWAY, SC 29526
(843) 438-4210
Mailing address
PO BOX 3189, SYRACUSE, NY 13220
(315) 454-6000
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8613
SC
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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