Individual
DR. JOHN S CHRISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
63 HUDSON ST, SOUTH GLENS FALLS, NY 12803-4945
(518) 792-2187
(518) 792-2188
Mailing address
63 HUDSON ST, SOUTH GLENS FALLS, NY 12803-4945
(518) 792-2187
(518) 792-2188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041463-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000456691002
BLUE SHIELD
NY
01
—
10033415
CDPHP
NY
01
—
1408571
UNITED CONCORDIA
NY
Enumeration date
08/15/2006
Last updated
07/08/2007
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