DR. CHRISTOPHER JOHN EITZEN DDS NPI 1932276607

NPI Information

NPI: 1932276607
Provider Name: DR. CHRISTOPHER JOHN EITZEN, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
11616 IBERIA PLACE
SAN DIEGO, CA
ZIP 92128
Phone: (858) 676-5000
Get Directions

DR. Christopher John Eitzen, DDS is a pediatric dentistry dentist in San Diego, CA. 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. Christopher John Eitzen, DDS NPI is 1932276607. 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:

11616 IBERIA PLACE
SAN DIEGO, CA
ZIP 92128
Phone: (858) 676-5000
Fax: (858) 676-5016

The enumeration date for this NPI number is 11/29/2006 and was last updated on 7/8/2007.

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	46180	CALIFORNIA	Yes
2	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	46180	CALIFORNIA	X

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	173912	OTHER		UNITED CONCORDIA INS ORTH
2	809272	OTHER		UNITED CONCORDIA INS

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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