JESSE MITCHEL RAYBON DMD
NPI 1003701913
Dentist in Little River, SC

Q: What is Jesse Raybon's NPI number?

The NPI number for Jesse Raybon is 1003701913. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Q: What is Jesse Raybon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Raybon was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2025

4303 LIVE OAK DR, LITTLE RIVER, SC 29566(843) 663-8011 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jesse Mitchel Raybon Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE MITCHEL RAYBON DMD (NPI 1003701913) is an individual dentist in Little River, South Carolina, licensed in South Carolina (11129) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1003701913

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJESSE MITCHEL RAYBONCredential: DMD

Location Address4303 LIVE OAK DRLittle River, SC 29566-9138

Mailing Address937 Maya Layne DrLittle River, SC 29566-5405 · (803) 389-6315

Phone(843) 663-8011

Sole ProprietorNo

Enumeration DateJune 11, 2025

NPPES CertifiedJune 11, 2025

✔ NPI 1003701913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in SC · 11129

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4303 LIVE OAK DR, Little River, SC 29566

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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