Provider Demographics
NPI:1114278330
Name:KUMFER, CHRISTOPHER JOEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOEL
Last Name:KUMFER
Suffix:
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 1:521 E COUNTY LINE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1065
Mailing Address - Country:US
Mailing Address - Phone:317-887-0700
Mailing Address - Fax:317-887-0701
Practice Address - Street 1:521 E COUNTY LINE RD
Practice Address - Street 2:SUITE A
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1065
Practice Address - Country:US
Practice Address - Phone:317-887-0700
Practice Address - Fax:317-887-0701
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011796A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice