Christian Dahl, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN015613 Issued in GA

Practice address

1100 Sherwood Park Dr NE Ste 310
Gainesville, GA 30501-3426

Phone

(770) 406-2051

NPI assigned

Jul 12, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Shore Endodontic Associates, P.C.

  • Endodontics
  • Peabody, MA
  • NPI 1821010877
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637366400000",
    "number": "1003268285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHERWOOD PARK DR NE STE 310",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013426",
            "telephone_number": "770-406-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHERWOOD PARK DR NE STE 310",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013426",
            "telephone_number": "770-406-2051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Essex Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019602905",
            "country_code": "US",
            "telephone_number": "978-532-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHL",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "DN015163",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN015613",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Leann Currie
• Chase Alain Czaykowsky, MD
• D H Stanley Pharmacy Services Corp
• Leesa Ann Dabbs, D.C.
• Folashade Dada, AGACNP
• Tarek Dakakni, MD
• Janie L Dalton, RN
• Jordan Daly
• Elana Grace Damico
• Theresa Dang, OD

• Endodontics in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.