Michael Christiansen, D.M.D.

Individual provider Active NPI General Practice Dentistry · Jamison, PA

NPI 1417045865 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1417045865
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN025519A (PA)
Practice address
2191 Meadowview Dr
Jamison, PA 18929-1609
Phone
(215) 343-8162
Fax
(215) 343-2294
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN025519APAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN025519A PA Yes

Addresses

Primary practice location

2191 Meadowview Dr
Jamison, PA 18929-1609

Mailing address

PO Box 331
Jamison, PA 18929-0331
Phone (215) 343-8162

Other providers in Jamison, PA

All providers in Jamison, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.