| Michael R Christopher Dmd Llc | |
|
2211 Mountain View Ave Longmont CO 80501-3113 | |
| (303) 772-5882 | |
| (303) 772-0363 |
| Full Name | Michael R Christopher Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 2211 Mountain View Ave, Longmont, Colorado |
| Authorized Official Name and Position | Michael R Christopher (OWNER) |
| Authorized Official Contact | 3037725882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Christopher Dmd Llc 2211 Mountain View Ave Longmont CO 80501-3113 Ph: (303) 772-5882 | Michael R Christopher Dmd Llc 2211 Mountain View Ave Longmont CO 80501-3113 Ph: (303) 772-5882 |
| NPI Number | 1457690158 |
|---|---|
| Provider Enumeration Date | 01/31/2013 |
| Last Update Date | 01/31/2013 |
| Medicare PECOS PAC ID | 8729223409 |
|---|---|
| Medicare Enrollment ID | O20200625002375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457690158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10284 (Colorado) | Primary |
| Provider Name | Michael R Christopher |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1538398920 PECOS PAC ID: 1456596139 Enrollment ID: I20200625002629 |
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