Individual
DR. CHRISTOPHER HANS HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS PC
Contact information
Practice address
491 PROSPERITY LAKE DR STE 301, ST AUGUSTINE, FL 32092-5045
(904) 429-0095
(904) 429-0238
Mailing address
491 PROSPERITY LAKE DR STE 301, ST AUGUSTINE, FL 32092-5045
(904) 429-0095
(904) 429-0238
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
1099
AK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
AA1099
AK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN22375
FL
Other
Enumeration date
08/31/2006
Last updated
03/24/2025
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