Provider Demographics
NPI:1275754350
Name:GREGORY, CHRISTINA ANN (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ANN
Last Name:GREGORY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18974-1049
Mailing Address - Country:US
Mailing Address - Phone:215-328-9103
Mailing Address - Fax:
Practice Address - Street 1:2218 BRISTOL PIKE
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5210
Practice Address - Country:US
Practice Address - Phone:215-639-6133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0351921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice