# CHRISTENSEN PEDIATRIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ABC PEDIATRIC DENTISTRY
- **Other names:** ABC Pediatric Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295343119
- **Legal business name:** ABC PEDIATRIC DENTISTRY
- **Authorized official:** CONNER JOHN CHRISTENSEN DDS (PEDIATRIC DENTIST)
- **Authorized official phone:** (402) 440-5714

## Contact information

- **Practice address:** 6908 S LYNCREST PL, SIOUX FALLS, SD 57108-2565
- **Practice address phone:** (605) 275-5771
- **Mailing address:** 6908 S LYNCREST PL, SIOUX FALLS, SD 57108-2565
- **Mailing address phone:** (605) 275-5771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2020
- **Last updated:** 07/22/2020
