| Jebediah S Christy, D.d.s. - Vienna, Pllc | |
|
501 Grand Central Ave Vienna WV 26105-2140 | |
| (866) 273-8204 | |
| (866) 803-4943 |
| Full Name | Jebediah S Christy, D.d.s. - Vienna, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 501 Grand Central Ave, Vienna, West Virginia |
| Authorized Official Name and Position | Jason Bertollini (PRS) |
| Authorized Official Contact | 8662738204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jebediah S Christy, D.d.s. - Vienna, Pllc Po Box 3189 Syracuse NY 13220-3189 Ph: (866) 273-8204 | Jebediah S Christy, D.d.s. - Vienna, Pllc 501 Grand Central Ave Vienna WV 26105-2140 Ph: (866) 273-8204 |
| NPI Number | 1629483466 |
|---|---|
| Provider Enumeration Date | 06/30/2014 |
| Last Update Date | 06/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629483466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4081 (West Virginia) | Primary |
Vienna Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Grand Central Ave Ste B, Vienna, WV 26105 Phone: 304-295-3384 | |
Daniel Dafo,dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Grand Central Ave, Suite 104, Vienna, WV 26105 Phone: 304-295-8256 Fax: 304-295-8261 |