Provider Demographics
NPI:1063668184
Name:LINGARD, CHRISTOPHER N (DMD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:N
Last Name:LINGARD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2874 N CARSON ST STE 230
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-1684
Mailing Address - Country:US
Mailing Address - Phone:775-884-2111
Mailing Address - Fax:775-884-2115
Practice Address - Street 1:2874 N CARSON ST STE 230
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-1684
Practice Address - Country:US
Practice Address - Phone:775-884-2111
Practice Address - Fax:775-884-2115
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7006361-99211223G0001X
UT7006361-89031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
320059Medicare Oscar/Certification