Provider Demographics
NPI:1043090590
Name:CHRISTOPHER J. TIKVART, DDS, PLLC
Entity Type:Organization
Organization Name:CHRISTOPHER J. TIKVART, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:TIKVART
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-696-6326
Mailing Address - Street 1:200 W CHATHAM ST
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-1408
Mailing Address - Country:US
Mailing Address - Phone:919-362-8797
Mailing Address - Fax:
Practice Address - Street 1:200 W CHATHAM ST
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1408
Practice Address - Country:US
Practice Address - Phone:919-362-8797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty