Individual
DR. CHRISTOPHER THOMAS CHISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6820 PARKDALE PL STE 117, INDIANAPOLIS, IN 46254-4699
(317) 329-7373
(866) 919-9416
Mailing address
6820 PARKDALE PL STE 117, INDIANAPOLIS, IN 46254-4699
(317) 329-7373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013149A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12013149A
IN PROFESSIONAL LICENSING ASSOCIATION
IN
Enumeration date
05/18/2019
Last updated
05/18/2019
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