Provider Demographics
NPI:1043381619
Name:JEBELES, CHRISTY (DMD MS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:
Last Name:JEBELES
Suffix:
Gender:F
Credentials:DMD MS
Other - Prefix:DR
Other - First Name:CHRISTY
Other - Middle Name:
Other - Last Name:SAVAGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD MS
Mailing Address - Street 1:125 NORTH CHALKVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-1376
Mailing Address - Country:US
Mailing Address - Phone:205-655-3939
Mailing Address - Fax:205-655-3033
Practice Address - Street 1:125 NORTH CHALKVILLE ROAD
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-1376
Practice Address - Country:US
Practice Address - Phone:205-655-3939
Practice Address - Fax:205-655-3033
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL43861223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics