Provider Demographics
NPI:1164736070
Name:CHIN, CHRISTOPHER ENG (DMD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ENG
Last Name:CHIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7477 N ORACLE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6306
Mailing Address - Country:US
Mailing Address - Phone:520-297-2297
Mailing Address - Fax:520-297-2378
Practice Address - Street 1:7477 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6306
Practice Address - Country:US
Practice Address - Phone:520-297-2297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2010023227122300000X
AZD0086911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist