Provider Demographics
NPI:1023399094
Name:ATKINS, CHRISTOPHER MARTIN JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MARTIN
Last Name:ATKINS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 CARVER DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:ROXBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27573-4577
Mailing Address - Country:US
Mailing Address - Phone:336-599-5431
Mailing Address - Fax:
Practice Address - Street 1:665 CARVER DR
Practice Address - Street 2:SUITE A
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27573-4577
Practice Address - Country:US
Practice Address - Phone:336-599-5431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC91041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice