Organization
JESSICA A. CHRISTY DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CHRISTY DDS (MEMBER)
(828) 696-3337
Entity
Organization
Contact information
Practice address
101 CHADWICK SQUARE CT STE A, HENDERSONVILLE, NC 28739-3232
(828) 696-3337
Mailing address
101 CHADWICK SQUARE CT STE A, HENDERSONVILLE, NC 28739-3232
(828) 696-3337
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11555
NORTH CAROLINA DENTAL BOARD
NC
01
—
6260
NORTH CAROLINA DENTAL BOARD
NC
01
—
8999
NORTH CAROLINA DENTAL BOARD
NC
Enumeration date
03/18/2020
Last updated
03/18/2020
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