Christian Scott Tabor, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410249 Issued in VA

Practice address

12000 Wyndham Lake Dr
Suite a
Glen Allen, VA 23059-7072

Phone

(804) 364-7122

Fax

(804) 364-8898

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1437159357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 WYNDHAM LAKE DR",
            "address_2": "SUITE A",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597072",
            "telephone_number": "804-364-7122",
            "fax_number": "804-364-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 WYNDHAM LAKE DR",
            "address_2": "SUITE A",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597072",
            "telephone_number": "804-364-7122",
            "fax_number": "804-364-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOR",
        "first_name": "CHRISTIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Alberti Sutherland, M.D.
• Tiffanie D Sutherlin, PHD, LPC, NCC, ACS
• Suzanne Frailing, LCSW, LLC
• John M Swangim, DPM
• Betty Ann Swenson, DVM
• Tahir Hassan Khan MD PA Inc
• Tyree Deana Talley, CSAC-S, QMHP A/C
• Tandem Mental Health Associates, Inc.
• Tifu Tanwi
• Elaine K Tardiff, R.PH.

• General Practice Dentistry in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.