Provider Demographics
NPI:1134291149
Name:ROSENTHAL, CHRISTINA TREHLET (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:TREHLET
Last Name:ROSENTHAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:TREHLET
Other - Last Name:FAULKNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4730 RIVERDALE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38141-8583
Mailing Address - Country:US
Mailing Address - Phone:901-758-2127
Mailing Address - Fax:901-758-2297
Practice Address - Street 1:4730 RIVERDALE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38141-8583
Practice Address - Country:US
Practice Address - Phone:901-758-2127
Practice Address - Fax:901-758-2297
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000008403122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist