Healthcare Provider Details

I. General information

NPI: 1396865812
Provider Name (Legal Business Name): JEFFREY D EFIRD DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 11/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 YORKSHIRE ST SUITE B
ASHEVILLE NC
28803-2893
US

IV. Provider business mailing address

11 YORKSHIRE ST SUITE B
ASHEVILLE NC
28803-2893
US

V. Phone/Fax

Practice location:
  • Phone: 828-252-6541
  • Fax: 828-252-1784
Mailing address:
  • Phone: 828-252-6541
  • Fax: 828-252-1784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number5661
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: