Individual
DR. CHRISTOPHER LEE BOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
122 DANIEL DR, DANVILLE, KY 40422-2527
(859) 236-1810
(859) 236-1802
Mailing address
122 DANIEL DR, DANVILLE, KY 40422-2527
(859) 236-1810
(859) 236-1802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8078
KY
1223G0001X
General Practice Dentistry
Primary
8078
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356706006
MEDICARE NSC
—
Enumeration date
12/04/2006
Last updated
09/14/2017
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