# DR. CHRIS ALLAN BLIXRUD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174604110
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 10403 | MN | — |
| 122300000X | Dentist | DEN-DEN-LIC-9751 | MT | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 10/01/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 296722700 | MN MEDICAL ASS | MN |