Christensen, John Robert

Christensen, John Robert is an individual health care provider with primary practice located at 121 W Woodcroft Pkwy , Durham NC 27713-9471. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is his primary health care specialty. Christensen, John Robert can be contacted via phone (919) 489-1543.

Contact Information

Primary practice address
121 W Woodcroft Pkwy Durham NC 27713-9471
Fax: (919) 489-2892
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5274 North Carolina
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 5274 North Carolina

Profile Details

NPI number 1255417846
LBN Legal business name Christensen, John Robert
Credentials D.D.S., M.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255417846 NPPES
North Carolina MEDICAID 8991556

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