Organization
JEBEDIAH S. CHRISTY, DDS - MYRTLE BEACH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEBEDIAH S CHRISTY DDS (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
1209 N RETAIL CT, MYRTLE BEACH, SC 29577-9626
(843) 874-4060
(843) 443-6952
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8613
SC
Other
Enumeration date
09/16/2015
Last updated
10/30/2015
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