Provider Demographics
NPI:1225722341
Name:SCHAUDT, CHRISTOPHER KRISHNA I (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:KRISHNA
Last Name:SCHAUDT
Suffix:I
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 1:7716 MAPLE MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-4666
Mailing Address - Country:US
Mailing Address - Phone:702-292-9658
Mailing Address - Fax:
Practice Address - Street 1:4880 W FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3704
Practice Address - Country:US
Practice Address - Phone:702-687-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV78301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice