JEBEDIAH S CHRISTY DDS - STATESBORO PLLC (NPI# 1801353370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801353370 |
| Entity Type | Organization |
| Organization Name | JEBEDIAH S CHRISTY DDS - STATESBORO PLLC |
| Practice Address |
412 Northside Dr E Statesboro GA 30458-4802 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 9122250777 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | JEBEDIAH CHRISTY (OWNER) |
| Authorized Official Telephone | 9122250777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
412 NORTHSIDE DR E |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091214 | Paul J Tilson | Urology | 412 Northside Dr E, #500, Statesboro, GA 30458-4802 | 2005-08-23 |
| 1518516392 | Charles Jordan | Dentist | 412 Northside Dr E, Statesboro, GA 30458-4802 | 2019-09-05 |
| 1780938647 | Cheryl Jean Ard | Nurse Practitioner | 412 Northside Dr E, Statesboro, GA 30458-4802 | 2012-10-30 |
| 1043384183 | Smith & Purvis Family Practice Clinic, PC | Family Medicine | 412 Northside Dr E, Suite 200, Statesboro, GA 30458-4802 | 2006-11-20 |
| 1285662866 | Statesboro Urologic Clinic, PC | Urology | 412 Northside Dr E, Suite 500, Statesboro, GA 30458-4802 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629541016 | Alexander Young Brown IIi | Dentist | 1130 Brampton Ave, Statesboro, GA 30458-0847 | 2019-01-08 |
| 1245784503 | Roderick Rashond Dunham | Dentist | 1076 Northside Dr E, Statesboro, GA 30458-1002 | 2016-08-04 |
| 1003232752 | Dale Cyril Madson | Dentist | 1046 Northside Dr East, Statesboro, GA 30458 | 2014-03-05 |
| 1548505126 | Howard Family Dental - Statesboro, LLC | Dentist | 356 Northside Dr E, Statesboro, GA 30458-4839 | 2012-12-07 |
| 1558562074 | Family Practice Dental Care of Statesboro | Dentist | 1046 Northside Dr E, Statesboro, GA 30458-1002 | 2007-05-31 |
| 1053442608 | Les J. Kicklighter, D.m.d., P.C. | Dentist | 512 Gentilly Rd, Statesboro, GA 30458-5149 | 2007-03-07 |
| 1366580938 | Richard F Marz | Dentist | 915 E Inman St, Statesboro, GA 30458-5124 | 2007-02-03 |
| 1952490989 | Jason Reid Mcgibony | Dentist | 378 Savannah Ave, Statesboro, GA 30458-5163 | 2006-10-11 |
| 1861583148 | Thomas Dental Center | Dentist | 219 Savannah Ave, Statesboro, GA 30458-2001 | 2006-09-28 |
| 1023119815 | Williams C Finley Jr. | Dentist | 225 S Zetterower Ave, Statesboro, GA 30458-4823 | 2006-09-26 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
Please comment or provide details below to improve the information on JEBEDIAH S CHRISTY DDS - STATESBORO PLLC.
| 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.