JOHN R CHRISTENSEN DDS MS MS PA NPI 1255546420

NPI Information

NPI: 1255546420
Provider Name: JOHN R CHRISTENSEN DDS MS MS PA

Doing Business As: DURHAM PEDIATRIC DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
121 W WOODCROFT PKWY
DURHAM, NC
ZIP 27713
Phone: (919) 489-1543
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JOHN R CHRISTENSEN DDS MS MS PA is a dental clinic center in Durham, NC. JOHN R CHRISTENSEN DDS MS MS PA NPI is 1255546420. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Durham Pediatric Dentistry.

The provider's business location address is:

121 W WOODCROFT PKWY
DURHAM, NC
ZIP 27713-471
Phone: (919) 489-1543
Fax: (919) 489-2892

The provider's authorized official is John Robert Christensen .
The authorized official title is Owner, President, Dentist and has the following contact phone number (919) 489-1543.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 10/3/2019.

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
1	1223P0221X	Dentist	Pediatric Dentistry			No
2	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics			No
3	261QD0000X	Clinic/Center	Dental	5274	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8991556	MEDICAID	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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