Organization
JOHN R CHRISTENSEN DDS MS MS PA
Active
Other names
Durham Pediatric Dentistry & Orthodontics, Durham Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT CHRISTENSEN DDS, MS, MS (OWNER, PRESIDENT, DENTIST)
(919) 489-1543
Entity
Organization
Contact information
Practice address
121 W WOODCROFT PKWY, DURHAM, NC 27713-9471
(919) 489-1543
(919) 489-2892
Mailing address
121 WOODCROFT PARKWAY, DURHAM, NC 27713
(919) 489-1543
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
5274
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991556
—
NC
Enumeration date
05/11/2007
Last updated
10/03/2019
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