# CHRIS BOSTICK DMD PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BOSTICK DENTAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356706006
- **Authorized official:** DR. CHRISTOPHER LEE BOSTICK DMD (OWNER)
- **Authorized official phone:** (859) 236-1810

## Contact information

- **Practice address:** 122 DANIEL DR, DANVILLE, KY 40422-2527
- **Practice address phone:** (859) 236-1810
- **Practice address fax:** (859) 236-1802
- **Mailing address:** 122 DANIEL DR, DANVILLE, KY 40422-2527
- **Mailing address phone:** (859) 236-1810
- **Mailing address fax:** (859) 236-1802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8078 | KY | Yes |

## Other

- **Enumeration date:** 12/23/2015
- **Last updated:** 12/23/2015