Provider Demographics
NPI:1174022370
Name:CHRISTOPHER A EMDIN DDS PLLC
Entity Type:Organization
Organization Name:CHRISTOPHER A EMDIN DDS PLLC
Other - Org Name:SOZO DENTISTRY AND ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:EMDIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:682-999-7751
Mailing Address - Street 1:5310 WOOD CREEK LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-4916
Mailing Address - Country:US
Mailing Address - Phone:682-999-7751
Mailing Address - Fax:
Practice Address - Street 1:2200 AIRPORT FWY STE 480
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6048
Practice Address - Country:US
Practice Address - Phone:817-785-3290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-03
Last Update Date:2018-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX311021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty