Individual
CHRISTIAN T JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6 GROVE ST, GREENVILLE, PA 16125-1513
(724) 456-6773
Mailing address
6 GROVE ST, GREENVILLE, PA 16125-1513
(724) 456-6773
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS025362L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018152710006
—
PA
05
—
234403
—
OH
Enumeration date
12/30/2005
Last updated
12/07/2023
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