# DR. TOM CHRISTIE FAMILY DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962848473
- **Authorized official:** DR. JOHN THOMAS CHRISTIE D.D.S. (OWNER/DENTIST)
- **Authorized official phone:** (765) 825-2941

## Contact information

- **Practice address:** 2628 WESTERN AVE, CONNERSVILLE, IN 47331-1803
- **Practice address phone:** (765) 825-2941
- **Practice address fax:** (765) 827-5796
- **Mailing address:** 2628 WESTERN AVE, CONNERSVILLE, IN 47331-1803
- **Mailing address phone:** (765) 825-2941
- **Mailing address fax:** (765) 827-5796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 100129090B | IN | Yes |

## Other

- **Enumeration date:** 05/13/2013
- **Last updated:** 05/13/2013