Individual
CHRISTOPHER WILLIAM THURSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
915 W MAIN ST STE 100, ABINGDON, VA 24210-2481
(276) 628-9507
(276) 628-9439
Mailing address
PO BOX 2045, ABINGDON, VA 24212-2045
(276) 628-9507
(276) 628-9439
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413596
VA
332B00000X
Durable Medical Equipment & Medical Supplies
0401413596
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401413596
VIRGINIA LICENSE NUMBER
VA
Enumeration date
06/04/2012
Last updated
02/03/2021
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