Jebediah S. Christy DDS - Waycross PLLC
Dentist in Waycross, GA. Organization (NPI-2).
NPI number1669922142
StatusActive
Last updated in NPPESOct 10, 2016
Details
- NPI
- 1669922142
- Entity type
- Organization (NPI-2)
- Legal business name
- Jebediah S. Christy DDS - Waycross PLLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2016
- Last updated
- Oct 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Aspen Dental (Doing Business As)
Practice location
2271 Memorial DrWaycross, GA 31501
Phone 912-550-4012 · Fax 912-287-9817
Mailing address
Po Box 3189Syracuse, NY 13220-3189
Phone 315-454-6000
Authorized official
Jennifer La Duc
Provider Relations
3154546000
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All 12 Dentist providers in Waycross · All 822 providers in Waycross
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