Provider Demographics
NPI:1316025703
Name:DYER, CHRISTOPHER TOWNSEND (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:TOWNSEND
Last Name:DYER
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:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28741-0070
Mailing Address - Country:US
Mailing Address - Phone:828-526-3513
Mailing Address - Fax:
Practice Address - Street 1:479 SOUTH DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741-8351
Practice Address - Country:US
Practice Address - Phone:828-526-3513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC72741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89902EVMedicaid