Jebediah S. Christy, D.D.S - Conway, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8613 Issued in SC

Legal business name

JEBEDIAH S. CHRISTY, D.D.S - CONWAY, PLLC

Doing business as

Aspen Dental

Practice address

2756 Church St
Conway, SC 29526

Phone

(843) 438-4210

NPI assigned

Apr 4, 2016

Last updated

Apr 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jebediah Shepherd Christy, DDS

Title

Owner

Phone

(843) 438-4210

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nikhil Kalla, DDS

  • General Practice Dentistry
  • Conway, SC
  • NPI 1225737380
  NPD (past)

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1336502632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13220",
            "telephone_number": "315-454-6000",
            "fax_number": "315-410-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 CHURCH ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-438-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEBEDIAH S. CHRISTY, D.D.S - CONWAY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "CHRISTY",
        "authorized_official_first_name": "JEBEDIAH",
        "authorized_official_middle_name": "SHEPHERD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-438-4210",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latisha Lashon Jackson, MSW
• Joanna Deloris James-Owens, PTA
• Diana C James, OD
• Lillie James
• Mark S Jeanjaquet, MD
• Sabrina Jelks, LMSW
• Cynthia Darlene Jenkins, LPC
• Summer M Jenkins, FNP-C
• Jennie Cassidy Psychologist LLC
• Jennifer Edwards Butler, DMD, PA

• General Practice Dentistry in Conway, SC
• Providers in Conway, 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 Apr 4, 2016; 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.