Provider Demographics
NPI:1275703308
Name:FLEMING, CHRISTOPHER HEALY (DMD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:HEALY
Last Name:FLEMING
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 1:1660 JESSE JEWELL PKWY NE STE B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-2547
Mailing Address - Country:US
Mailing Address - Phone:770-503-7333
Mailing Address - Fax:
Practice Address - Street 1:1660 JESSE JEWELL PKWY NE STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-2547
Practice Address - Country:US
Practice Address - Phone:770-503-7333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0139091223E0200X
AL55391223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics