Jebediah S Christy DDS - Walpole PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1855901 Issued in MA

Legal business name

JEBEDIAH S CHRISTY DDS - WALPOLE PC

Doing business as

Aspen Denta

Practice address

116 Providence Hwy
East Walpole, MA 02032-1509

Phone

(315) 454-6000

NPI assigned

Aug 12, 2013

Last updated

Aug 12, 2013By 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 Christy, DDS

Title

DDS/Owner

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Other names 1

• Aspen Denta 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": "1972936128",
    "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": "116 PROVIDENCE HWY",
            "city": "EAST WALPOLE",
            "state": "MA",
            "postal_code": "020321509",
            "telephone_number": "315-454-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEBEDIAH S CHRISTY DDS - WALPOLE 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_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "315-454-6000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1855901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Denta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Harrison
• Cameron Hart, PA-C
• Healthguard Homecare, Inc
• Katherine J Hinds, LCMT
• Hemant Hora, M.D.
• Fiona Debra Johansmeyer, PA
• Vamsi Kalepu, DMD
• Trinh Nikki Ly-Lucas
• Margarette A Mikkola, LICSW
• Sarah M Norton, M.S. CCC-SLP

• General Practice Dentistry in East Walpole, MA
• Providers in East Walpole, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.