Provider Demographics
NPI:1134310592
Name:MYERS, CHRISTOPHER R (DDS)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:R
Last Name:MYERS
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 1:800 E 1ST ST
Mailing Address - Street 2:MERCY NORTH, SUITE E250
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-2077
Mailing Address - Country:US
Mailing Address - Phone:515-963-9600
Mailing Address - Fax:515-963-0162
Practice Address - Street 1:800 E 1ST ST
Practice Address - Street 2:MERCY NORTH, SUITE E250
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-2077
Practice Address - Country:US
Practice Address - Phone:515-963-9600
Practice Address - Fax:515-963-0162
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-088611223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry