DR. CONNER JOHN CHRISTENSEN D.D.S. NPI 1104209501

NPI Information

  • NPI: 1104209501
  • Provider Name: DR. CONNER JOHN CHRISTENSEN, D.D.S.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1439 STILLWATER AVE STE 7
    CHEYENNE, WY
    ZIP 82009
  • Phone: (307) 778-7100

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NPI Details

DR. Conner John Christensen, D.D.S. is a pediatric dentistry dentist in Cheyenne, WY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Conner John Christensen, D.D.S. NPI is 1104209501. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1439 STILLWATER AVE STE 7
CHEYENNE, WY
ZIP 82009-367
Phone: (307) 778-7100

The NPI 1104209501 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/2/2015 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice7237NEBRASKANo
21223P0221XDentistPediatric Dentistry1482WYOMINGNo
31223P0221XDentistPediatric Dentistry7237NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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