Provider Demographics
NPI:1083199210
Name:CHRISTOPHER M SECHRIST DDS AND CHRISTOPHER M SECHRIST GEN
Entity Type:Organization
Organization Name:CHRISTOPHER M SECHRIST DDS AND CHRISTOPHER M SECHRIST GEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SECHRIST
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:909-798-3772
Mailing Address - Street 1:5 E CITRUS AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-4736
Mailing Address - Country:US
Mailing Address - Phone:909-798-3772
Mailing Address - Fax:
Practice Address - Street 1:5 E CITRUS AVE STE 201
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4736
Practice Address - Country:US
Practice Address - Phone:909-798-3772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty