JEBEDIAH S. CHRISTY DDS - WAYCROSS PLLC (NPI# 1669922142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669922142 |
| Entity Type | Organization |
| Organization Name | JEBEDIAH S. CHRISTY DDS - WAYCROSS PLLC |
| Other Organization Name | ASPEN DENTAL |
| Practice Address |
2271 Memorial Dr Waycross GA 31501 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 9125504012 |
| Practice Fax Number | 9122879817 |
| Mailing Telephone | 3154546000 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |
| Authorized Official Name | JENNIFER LA DUC (PROVIDER RELATIONS) |
| Authorized Official Telephone | 3154546000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Aspen Dental | Doing Business As Name - Organization |
| Street Address |
2271 MEMORIAL DR |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| 1538403324 | Okefenokee Anesthesia Company LLC | Nurse Anesthetist, Certified Registered | 1501 Alice Street, Waycross, GA 31501 | 2012-11-16 |
| Find all providers in zip 31501 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407022304 | Jon A Drawdy Dmd PC | Dentist | 504 Screven Avenue, Waycross, GA 31501 | 2008-05-01 |
| 1548360605 | Page Elaine Manus | Dentist | 410 Uvalda Street, Waycross, GA 31501 | 2006-09-25 |
| 1104930635 | Larry L Dunn | Dentist | 1404 A Tebeau Street, Waycross, GA 31501 | 2006-08-19 |
| 1710960661 | Thomas Alan Cade | Dentist | 3450 Harris Road, Waycross, GA 31504 | 2005-11-23 |
| 1316321631 | Lucas and Thomas Family Dentistry, Inc. | Dentist | 1600 Alice St, Waycross, GA 31501-4533 | 2015-07-16 |
| 1861717456 | David A Heuett Jr. | Dentist | 218 Quarterman St, Waycross, GA 31501-3547 | 2010-04-07 |
| 1952632259 | Jonathan A Drawdy | Dentist | 504 Screven Ave, Waycross, GA 31501-3464 | 2010-01-26 |
| 1326290644 | Elizabeth Viruet | Dentist | 218 Quarterman St, Waycross, GA 31501-3547 | 2008-10-17 |
| 1689774747 | James Matthew Smith Jr. | Dentist | 410 Uvalda Street, Waycross, GA 31501 | 2006-09-25 |
| 1295746477 | James C. Morton Jr. | Dentist | 218 Quarterman St, Waycross, GA 31501-3547 | 2006-08-11 |
| Find all providers in WAYCROSS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.