Provider Demographics
NPI:1235259680
Name:ELSON, CHRISTOPHER DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:ELSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7373 W JEFFERSON AVE #403
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235
Mailing Address - Country:US
Mailing Address - Phone:303-972-2700
Mailing Address - Fax:303-979-8602
Practice Address - Street 1:7373 W. JEFFERSON AVE #403
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235
Practice Address - Country:US
Practice Address - Phone:303-972-2700
Practice Address - Fax:303-979-8602
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO70661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice