| Jebediah S. Christy, Dds - Myrtle Beach Pllc | |
| 
					1209 N Retail Ct Myrtle Beach SC 29577-9626  | |
| (843) 874-4060 | |
| (843) 443-6952 | 
| Full Name | Jebediah S. Christy, Dds - Myrtle Beach Pllc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 1209 N Retail Ct, Myrtle Beach, South Carolina | 
| Authorized Official Name and Position | Jebediah S Christy (OWNER) | 
| Authorized Official Contact | 3154546000 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jebediah S. Christy, Dds - Myrtle Beach Pllc Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000  | Jebediah S. Christy, Dds - Myrtle Beach Pllc 1209 N Retail Ct Myrtle Beach SC 29577-9626 Ph: (843) 874-4060  | 
| NPI Number | 1518336924 | 
|---|---|
| Provider Enumeration Date | 09/16/2015 | 
| Last Update Date | 10/30/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518336924 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8613 (South Carolina) | Primary | 
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