Ernest Gary Jeffords DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1806 Issued in SC

Legal business name

ERNEST GARY JEFFORDS DMD PA

Practice address

474 North St
Bamberg, SC 29003-1318

Phone

(803) 245-5545

Fax

(803) 245-5534

NPI assigned

May 21, 2006

Last updated

Jul 9, 2008By 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

Dr. Ernest Gary Jeffords, DMDNPI 1306986369

Title

President

Phone

(803) 245-5545

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ernest Gary Jeffords, DMD

  • General Practice Dentistry
  • Bamberg, SC
  • NPI 1306986369
  Authorized official Same address or phone

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1487608568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290030008",
            "telephone_number": "803-245-5454"
        },
        {
            "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": {
        "organization_name": "ERNEST GARY JEFFORDS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-21",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "JEFFORDS",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-245-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z18062",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Earl B Hartzog DMD PA (Bamberg Dentistry)
• Earl B Hartzog DMD PA (Bamberg Ortho)
• Edisto Regional Health Services Inc. (RMC Primary Care Bamberg)
• Edisto Regional Health Services Inc. (William D Glenn IV MD)
• Edisto Regional Health Services Inc. (Bamberg Express Care)
• Cameron Lee Eubanks, PHARM.D.
• F Marion Dwight MD PA
• F. M. Dwight, MD, PA
• F. Marion Dwight, MD,PA (Bamberg Family Practice)
• Five Feathers Management Group, LLC (Bamberg Medical Group)

• 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 9, 2008; 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.