Individual
DR. JONATHAN W CHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
410A PELHAM RD, GREENVILLE, SC 29615-3502
(864) 232-3333
Mailing address
410A PELHAM RD, GREENVILLE, SC 29615-3502
(864) 232-3333
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10069
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX0045
—
SC
Enumeration date
06/13/2017
Last updated
03/02/2022
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