Provider Demographics
NPI:1528241742
Name:JEBELES, CHRIS ARRIS (DMD)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:ARRIS
Last Name:JEBELES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4647 HIGHWAY 280
Mailing Address - Street 2:SUITE E
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5089
Mailing Address - Country:US
Mailing Address - Phone:205-980-8777
Mailing Address - Fax:205-980-8777
Practice Address - Street 1:4647 HIGHWAY 280
Practice Address - Street 2:SUITE E
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5089
Practice Address - Country:US
Practice Address - Phone:205-980-8777
Practice Address - Fax:205-980-8777
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL47081223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL39779OtherBLUE CROSS BLUE SHIELD