Provider Demographics
NPI:1003823436
Name:MCABOY, CHRISTOPHER PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:PATRICK
Last Name:MCABOY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:377 W RIVER WOODS PARKWAY
Mailing Address - Street 2:SUITE #120
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53212
Mailing Address - Country:US
Mailing Address - Phone:414-906-8940
Mailing Address - Fax:414-906-8950
Practice Address - Street 1:377 W RIVER WOODS PARKWAY
Practice Address - Street 2:SUITE #120
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53212
Practice Address - Country:US
Practice Address - Phone:414-906-8940
Practice Address - Fax:414-906-8950
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI5603-0151223S0112X
WI5401122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery