Provider Demographics
NPI:1295853430
Name:STELLPFLUG, CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:STELLPFLUG
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 1:931 OAK PARK BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PISMO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93449-3402
Mailing Address - Country:US
Mailing Address - Phone:805-481-1789
Mailing Address - Fax:805-473-8299
Practice Address - Street 1:931 OAK PARK BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:PISMO BEACH
Practice Address - State:CA
Practice Address - Zip Code:93449-3402
Practice Address - Country:US
Practice Address - Phone:805-481-1789
Practice Address - Fax:805-473-8299
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA466911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice