| Ernest Gary Jeffords Dmd Pa | |
|
474 North St Bamberg SC 29003-1318 | |
| (803) 245-5545 | |
| (803) 245-5534 |
| Full Name | Ernest Gary Jeffords Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 474 North St, Bamberg, South Carolina |
| Authorized Official Name and Position | Ernest Gary Jeffords (PRESIDENT) |
| Authorized Official Contact | 8032455545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ernest Gary Jeffords Dmd Pa Po Box 8 Bamberg SC 29003-0008 Ph: (803) 245-5454 | Ernest Gary Jeffords Dmd Pa 474 North St Bamberg SC 29003-1318 Ph: (803) 245-5545 |
| NPI Number | 1487608568 |
|---|---|
| Provider Enumeration Date | 05/21/2006 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487608568 | NPI | - | NPPES |
| Z18062 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1806 (South Carolina) | Primary |
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