Provider Demographics
NPI:1275702649
Name:ESPOSITO, CHRISTOPHER V (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:V
Last Name:ESPOSITO
Suffix:
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 1:220 SCHOOLEY ST
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-2957
Mailing Address - Country:US
Mailing Address - Phone:856-235-6561
Mailing Address - Fax:
Practice Address - Street 1:220 SCHOOLEY ST
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-2957
Practice Address - Country:US
Practice Address - Phone:856-235-6561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0230381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice