NPI 1811059678 · live from the CMS NPI Registry
Christopher C. Jernigan, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Columbia, SC. National Provider Identifier 1811059678, active.
NPI record
| NPI | 1811059678 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 5 Lake Carolina Blvd Ste 250, Columbia, SC 29229 |
| Practice phone | 803-736-0065 |
| Enumerated | December 15, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 3709 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.