Provider Demographics
NPI:1194399055
Name:CHRISTEN, ANN-MARIE SIMON (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANN-MARIE
Middle Name:SIMON
Last Name:CHRISTEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84125 HIGHWAY 437
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70435-8501
Mailing Address - Country:US
Mailing Address - Phone:337-517-1700
Mailing Address - Fax:
Practice Address - Street 1:600 SHRINERS DR
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-2684
Practice Address - Country:US
Practice Address - Phone:985-735-0078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-16
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7218122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist