Provider Demographics
NPI:1275742843
Name:LAURITZEN, CHRISTOPHER SMITH I (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SMITH
Last Name:LAURITZEN
Suffix:I
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:COMMUNITY HEALTH CENTERS
Mailing Address - Street 2:2621 SOUTH 3270 WEST
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119
Mailing Address - Country:US
Mailing Address - Phone:385-261-2741
Mailing Address - Fax:801-746-0246
Practice Address - Street 1:COMMUNITY HEALTH CENTERS INC
Practice Address - Street 2:980 SOUTH 500 WEST, SUITE #1
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-8276
Practice Address - Country:US
Practice Address - Phone:435-723-8276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX182391223G0001X
UT9738345-99211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice