Ernest Gary Jeffords, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1806 Issued in SC

Practice address

474 North St
Bamberg, SC 29003-1318

Phone

(803) 245-5545

Fax

(803) 245-5534

NPI assigned

Feb 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Ernest Gary Jeffords Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ernest Gary Jeffords DMD PA

  • General Practice Dentistry
  • Bamberg, SC
  • NPI 1487608568
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306986369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "address_2": "443 HIGHLAND CIRCLE",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290030008",
            "telephone_number": "803-245-5454",
            "fax_number": "803-245-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 NORTH ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031318",
            "telephone_number": "803-245-5545",
            "fax_number": "803-245-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFORDS",
        "first_name": "ERNEST",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1806",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERNEST",
            "last_name": "JEFFORDS",
            "middle_name": "GARY",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tonie Anthony Holman Sr.
• Alexander Hovey, PA-C
• Krysty Still Hutto, AARN
• Bonnie Inabinet, RN
• Jack P. Padgett Jr. (Padgett's Drive in Pharmacy)
• James B. Jeffries, R.PH.
• Kiara Jenkins, PMHNP-BC
• Shelidonna Jennings, LPN
• Cindy Jones, RN
• Jordan Dental Associates, LLC

• General Practice Dentistry in Bamberg, SC
• Providers in Bamberg, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.