Provider Demographics
NPI:1275548141
Name:FARRUGIA, CHRISTOPHER PAUL (DDS)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:FARRUGIA
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 1:6757 US HIGHWAY 98 W STE 301
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-4780
Mailing Address - Country:US
Mailing Address - Phone:850-622-5888
Mailing Address - Fax:850-622-0072
Practice Address - Street 1:6757 US HIGHWAY 98 W STE 301
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-4780
Practice Address - Country:US
Practice Address - Phone:850-622-5888
Practice Address - Fax:850-622-0072
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9677122300000X
FLDN9602122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist