Provider Demographics
NPI:1326282617
Name:POIDMORE, KHRISTI ROCKWOOD (DDS)
Entity Type:Individual
Prefix:DR
First Name:KHRISTI
Middle Name:ROCKWOOD
Last Name:POIDMORE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 W HIGHLANDS VIEW PL
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-1881
Mailing Address - Country:US
Mailing Address - Phone:402-680-8874
Mailing Address - Fax:
Practice Address - Street 1:3085 W INA RD STE 101
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2382
Practice Address - Country:US
Practice Address - Phone:520-219-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6627122300000X
AZ77031223P0300X
AZD077031223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist