Provider Demographics
NPI:1144386079
Name:KATES, CHRIS L (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:L
Last Name:KATES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:CHRIS
Other - Middle Name:L
Other - Last Name:KATES, DDS, PA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:33 SE OSCEOLA ST
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2125
Mailing Address - Country:US
Mailing Address - Phone:772-287-1671
Mailing Address - Fax:772-287-1673
Practice Address - Street 1:33 SE OSCEOLA ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2125
Practice Address - Country:US
Practice Address - Phone:772-287-1671
Practice Address - Fax:772-287-1673
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 172481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice