Jebediah S Christy DDS - West Lebanon PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15430 Issued in NH

Legal business name

JEBEDIAH S CHRISTY DDS - WEST LEBANON PC

Doing business as

Aspen Dental

Practice address

285 Plainfield Rd
West Lebanon, NH 03784-2029

Phone

(315) 454-6000

NPI assigned

Aug 12, 2013

Organization subpart

No

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

Authorized official

Name

Jebediah S Christy, DDS

Title

DDS/PC

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1336572593",
    "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": "132203189",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 PLAINFIELD RD",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037842029",
            "telephone_number": "315-454-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEBEDIAH S CHRISTY DDS - WEST LEBANON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "CHRISTY",
        "authorized_official_first_name": "JEBEDIAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DDS/PC",
        "authorized_official_telephone_number": "315-454-6000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "15430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Hildreth, PA
• Angela Mary Hooper
• Shaunna Marie Houle, DPT
• Ellie Marie Hutchins, OT
• Robert Hutchinson III, BA
• Jonathan Johnson
• Matthew Jones, PHARM.D.
• Rebecca Watson Jones, LPN
• Christopher Sean Jordan
• Zehra Merve Kaya, PHD, MA

• General Practice Dentistry in West Lebanon, NH
• Providers in West Lebanon, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.