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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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