Active NPI
Jebediah S Christy DDS - Statesboro PLLC
- General Practice Dentistry
- Statesboro, GA
National Provider Identifier
1801353370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JEBEDIAH S CHRISTY DDS - STATESBORO PLLC
- Practice address
- 412 Northside Dr E
Statesboro, GA 30458-4802 - Phone
- (912) 225-0777
- NPI assigned
- Feb 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jebediah Christy
- Title
- Owner
- Phone
- (912) 225-0777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
412 Northside Dr E
Statesboro, GA 30458-4802
Mailing address
PO Box 70887
Cleveland, OH 44190-0887
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687219200000",
"number": "1801353370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70887",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441900887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 NORTHSIDE DR E",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584802",
"telephone_number": "912-225-0777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEBEDIAH S CHRISTY DDS - STATESBORO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-21",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A",
"authorized_official_last_name": "CHRISTY",
"authorized_official_first_name": "JEBEDIAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-225-0777"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.