Individual
DR. CHRISTOPHER C BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, STE 302, LOUISVILLE, KY 40202-1882
(502) 587-7874
(502) 587-0758
Mailing address
225 ABRAHAM FLEXNER WAY, STE 302, LOUISVILLE, KY 40202-1882
(502) 587-7874
(502) 587-0758
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7246
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DMD-7246
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD-38014
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000297067
BCBS
KY
05
—
60072469
—
KY
05
—
64072812
—
KY
Enumeration date
08/18/2005
Last updated
08/26/2013
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